[Diagnostic and therapeutic problems in gunshot wounds]

Area of Science:

• Trauma Surgery
• Otolaryngology
• Maxillofacial Surgery

Background:

• Bullet wounds are increasingly prevalent, even in peacetime.
• Characterized by irregular paths, entry/exit wounds, and bone defects, differing from blunt trauma.
• Causes include suicide, firearm negligence, and violent conflicts.

Observation:

• A 35-year review of 30 patients treated for gunshot wounds.
• Analysis of four distinct case reports highlighting treatment challenges.
• Focus on interdisciplinary management, diagnostics, and therapeutic strategies.

Findings:

• Retained missile requiring complex removal, risking vascular injury (A. maxillaris).
• Blank cartridge injuries causing extensive facial trauma necessitating multiple revisions.
• Unexpected bleeding from tongue gunshot wounds.
• Pediatric case with a bullet lodged in hyperplastic adenoid tonsils.

Implications:

• Preoperative angiography can be vital for complex cases with retained missiles.
• Meticulous primary treatment is paramount for achieving favorable functional and cosmetic results.
• Interdisciplinary collaboration is essential for managing diverse gunshot wound presentations.