Ballistic (Gunshot) Injury

[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Ballistic Injury” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Ballistic injuries are injuries sustained from the discharge of arms or ammunitions. Treatment of these wounds includes management of both soft tissue injuries and fractures of bones. Craniofacial Ballistic injuries are successfully treated and reconstructed at our hospital[/vc_column_text][vu_heading style=”1″ heading=”Case 1″ subheading=”Iraqi soldier’s eye saved after bullet injury” alignment=”left” custom_colors=”” class=””][vc_column_text]An Iraqi soldier was maimed by a stray bullet in a civil unrest in Baghdad. The bullet entered the head at the nape of the neck, travelled through the base of the skull and exited just below the lower eyelid damaging the right upper jaw, eye bones and mid face. He was given first aid and subsequently brought to Balaji Dental & Craniofacial Hospital, Chennai for reconstruction of the face wherein he underwent successful rehabilitation.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2795″ ratio=”2:1″ title=”Few months before the accident” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2796″ ratio=”2:1″ title=”Bullet entry and exit wound” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2797″ ratio=”2:1″ title=”Path of the bullet leading to fracture of the upper jaw, eye bone and sinus” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2798″ ratio=”2:1″ title=”Reconstruction of eye socket floor using Titanium mesh and cartilage graft from patient’s rib” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2799″ ratio=”2:1″ title=”Before and after surgery” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2800″ ratio=”2:1″ title=”The patient with Dr. S.M. Balaji at the time of discharge” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vu_heading style=”1″ heading=”Stray bullet passes close to eye” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]A 21-year-old male Iraqi soldier Hassanain Ibrahim Noori was severely wounded in a gunshot accident. During a civil unrest in Baghdad, unidentified miscreants shot at random and the victim was caught in the line of fire.

A close range bullet shot at medium or intermediate velocity, entered his skull at the nape of the neck, travelled through the base of the skull and exited just below the right lower eyelid severely damaging the eye socket, lower eyelid, cheek bone and upper jaw on the right side of the face. The intensity of the injury caused the right eye to hang low. He had a miraculous escape of life when the bullet narrowly missed two major arteries in the skull.

He was taken to a hospital nearby where he was given first aid only. He was further referred to Balaji Dental and Craniofacial Hospital for expert treatment and facial reconstruction.

[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_column_text]Eminent Facio-Maxillofacial Surgeon Dr. S.M. Balaji carefully analyzed the ballistics injury. A CT scan was taken to gauge the extent of complexity. The bullet had damaged the soft tissue and bone of the upper jaw including the floor of the eye socket as well as parts of the lower eyelid.

A diligent and intricate surgical procedure was performed by the surgical team headed by Dr. Balaji to restore normal function and appearance. The right eyeball was lifted and a Titanium mesh was placed to reconstruct the floor of the right eye socket. A bone graft was taken from the patient’s ribs and was used to accurately re-contour the smashed right cheek and eye bone. Hassanain’s facial appearance and eyesight were restored to normalcy, thanks to the accomplished efforts of Dr. Balaji and his team. A much delighted Hassanain and his family returned to Iraq.[/vc_column_text][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2801″ ratio=”2:1″ title=”The patient and his mother thanking Dr. Balaji” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vu_heading style=”1″ heading=”Case 2″ subheading=”Surgical closure of palatal fistula from shrapnel injury” alignment=”left” custom_colors=”” class=””][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2807″ ratio=”2:1″ title=”Palatal fistula following the trauma” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2808″ ratio=”2:1″ title=”Temporalis myofascial flap used to close the defect” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2806″ ratio=”2:1″ title=”Flap sutured firmly in place” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vu_image_box image=”2805″ ratio=”2:1″ title=”Complete closure of defect and good healing seen after surgery” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_column_text]A 35-year-old woman came to our hospital seeking treatment for a defect in the roof of her mouth. She complained of escape of foods and fluids from the mouth through the nose and a nasal-sounding speech. She had a large palatal fistula in the roof of her mouth causing a communication between the nose and mouth. She also had a scar on her left cheek. She gave a history of having been an unfortunate victim of civil riots several months ago wherein she sustained a shrapnel injury to her upper jaw. She had sought immediate first aid elsewhere.

The extent of the defect was evaluated using advanced 3D CT scan. Dr. S.M. Balaji successfully reconstructed the palatal fistula defect covering it with a Temporalis myofascial flap. Following surgery, the patient’s symptoms ceased and her quality of life improved.[/vc_column_text][/vc_column][/vc_row][/vc_section]

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