An unusual case of firearm injury to the face with bullet cover lodged in the nose

We report an unusual case of an accidental firearm injury, in a 35-year-old male firearm trainer, by a bullet cover fired in a retrograde manner, which was lodged in his right nasal cavity just reaching sphenoid sinuses without any neurological impairment. The extent of tissue damage and posterior e...

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Bibliographic Details
Published inRhinology Vol. 47; no. 2; p. 214
Main Authors Al Saif, Saud, Al-Shaikh, Khalil, Al Dhafiri, Hamed, Qureshi, Sadat
Format Journal Article
LanguageEnglish
Published Netherlands 01.06.2009
Subjects
Adult
Bandages
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Humans
Male
Maxillofacial Injuries - diagnostic imaging
Maxillofacial Injuries - surgery
Nose - diagnostic imaging
Nose - injuries
Nose - surgery
Tomography, X-Ray Computed
Wound Healing
Wounds, Gunshot - diagnostic imaging
Wounds, Gunshot - surgery
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Summary:We report an unusual case of an accidental firearm injury, in a 35-year-old male firearm trainer, by a bullet cover fired in a retrograde manner, which was lodged in his right nasal cavity just reaching sphenoid sinuses without any neurological impairment. The extent of tissue damage and posterior extent of tract was assessed by plain radiography and CT scans. The bullet cover was recovered under endoscopic guidance and the wound sutured with a small defect left for healing by secondary intention keeping in mind second stage reconstruction of the persisting defect. On follow up the wound had healed with good esthetic results. The case showed that gunshot injuries can be treated primarily as well that undermining of the edges of wound and regular well-lubricated dressings are key to good healing.
ISSN:0300-0729