Between 2000 and 2010, approximately 10,000 gun attacks resulting in death were registered in the EU countries. In the same period and region, approximately 40,000 suicides took place, 1,500 of which were in the Czech Republic. 82% of suicides or suicide attempts using a firearm (or another projectile weapon) led to a head injury. Typically, the shots target the temporal or submental region. The severity of the suffered injuries depends besides the wound site, projectile calibre and energy also on other factors such as the projectile trajectory, formation of secondary projectiles, shot reflection from the skeletal structures, etc. Gunshot wounds aimed at the splanchnocranium usually lead to injuries of the mandible(s), maxilla(e), orbit(s) and nose, i.e. of regions associated with multiple fields of medicine requiring multidisciplinary cooperation. The presented paper aims to explain in detail the destructive effects of gunshot injuries in the orofacial regions and to describe the recommended procedure during primary medical treatment. The team of authors aimed to clearly present important information originating both from literature and practical experience with this type of injury.
- Klíčová slova
- gunshot wounds, orofacial region, treatment protocol,
- MeSH
- lebka zranění MeSH
- lidé MeSH
- penetrující poranění hlavy MeSH
- střelné rány * chirurgie MeSH
- střelné zbraně MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
The reconstruction of complex craniofacial and orbital defects should satisfactorily restore functional and aesthetic integrity. Autologous reconstruction of nasal, periorbital and auricular facial subunits as a whole using a locoregional or a free flap is very challenging and the results are not sometimes ideal. With advanced technologies that are currently available it is possible to plan and produce authentic facial prosthesis that can satisfactory substitute these facial subunits. We demonstrate an alternative reconstructive concept for complex craniofacial defects based on a free flap combined with a facial prosthesis for the replacement of periorbital or auricular facial subunits. This approach was used in two patients with very satisfactory results. Combination of a free flap with a facial prosthesis may become a preferable approach for the reconstruction of complex craniofacial defects. Clinical outcomes of the reconstructions may be enhanced respecting the principle of aesthetic facial subunits.
- Klíčová slova
- Free flap, combination, craniofacial, epithesis, orbital auricular., reconstruction,
- MeSH
- bazocelulární karcinom chirurgie MeSH
- enukleace oka MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádory kůže chirurgie MeSH
- nádory obličeje chirurgie MeSH
- nádory očního víčka chirurgie MeSH
- oční protézy * MeSH
- orbitální implantáty * MeSH
- protézy a implantáty * MeSH
- volné tkáňové laloky * MeSH
- zevní ucho chirurgie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
