External Fixation in a Low-Velocity Gunshot Wound to the Mandible

From the *Division of Plastic, Reconstructive and Hand Surgery, University of Cincinnati
The Journal of craniofacial surgery (Impact Factor: 0.68). 09/2012; 23(5):e418-9. DOI: 10.1097/SCS.0b013e31825daecc
Source: PubMed


Low-velocity gunshot wounds to the mandible are complex injuries that can be aesthetically and functionally devastating. Despite advances in plating systems and surgical techniques, repair of such injuries remains a challenging endeavor. Traditionally, external fixation has resulted in longer treatment times and the need for revision surgery. Rigid fixation has many proponents because of shorter postoperative treatment times and fewer complications. We report a case of a low-velocity gunshot injury to the mandible with comminution and a full-thickness soft tissue wound treated definitively with maxillomandibular fixation and an external fixation device.

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