Rehabilitation of gunshot injuries that require combined reconstruction of bone and soft tissue poses a considerable challenge. We describe three cases of rehabilitation for mandibular defects and deformities caused by gunshot injuries. After debridement, three kinds of internal distractors were used. The bony transport discs were distracted about 10-22 mm, and the new bone formed well in the distracted gaps. There was no evidence of infection during the consolidation period or follow up. Aesthetic appearance was also pleasing after treatment. Internal distraction osteogenesis after debridement might be a practical way of synchronously reconstructing bony and soft tissue after mandibular gunshot injuries.
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- Complex reconstruction of facial surgical deformity and function after severe gunshot injury: one case report.Int J Clin Exp Med. 2015; 8: 1427-1433
- Reconstruction and rehabilitation of short-range gunshot injury to lower part of face: a systematic approach of three cases.Chin J Traumatol. 2016; 19: 239-243
- Surgical correction of severe enophthalmos caused by bullet injury.Indian J Dent Res. 2016; 27: 445-449
- Management of close-range, high energy shotgun and rifle wounds to the face.J Craniofac Surg. 2005; 16: 794-804
- Early management of civilian gunshot wounds to the face.J Trauma. 1993; 35: 569-575
- Early definitive bone and soft-tissue reconstruction of major gunshot wounds of the face.Plast Reconstr Surg. 1991; 87: 436-450
- Primary treatment of penetrating injuries to the face.J Oral Maxillofac Surg. 2007; 65: 1215-1218
- Multiplanar and combined distraction osteogenesis for three-dimensional and functional reconstruction of unilateral reconstruction of unilateral large maxillary defects.Br J Oral Maxillofac Surg. 2009; 47: 106-110
- Skeletal and soft tissue response to automated, continuous, curvilinear distraction osteogenesis.J Oral Maxillofac Surg. 2014; 72: 1773-1787
- Non-free osteoplasty of the mandible in maxillofacial gunshot wounds: mandibular reconstruction by compression-osteodistraction.Br J Oral Maxillofac Surg. 1999; 37: 261-267
- Gunshot wounds: reconstruction of the lower face by osteogenesis distraction.Plast Reconstr Surg. 2005; 116: 1596-1603
- Vertical alveolar ridge augmentation by distraction osteogenesis.J Clin Diagn Res. 2015; 9: ZC43-6
- Treatment of micrognathia by intraoral distraction osteogenesis: a prospective study.Ann Maxillofac Surg. 2017; 7: 37-44
- Experience with mandibular reconstruction using transport-dics-distraction osteogenesis.Craniomaxillofac Trauma Reconstr. 2015; 8: 117-122
Published online: January 23, 2020
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.