| Title | Indirect gunshot wound to the head. | | Author(s) | Ragel BT, McCafferty RR | | Institution | Department of Neurosurgery, David Grant Medical Center, 101 Bodin Circle, Travis AFB, Fairfield, CA 94535, USA, brian.ragel@gmail.com | | Source | Acta Neurochir (Wien) 2008 Dec; 150(12):1311-2; discussion 1312. | | MeSH | Adult
Afghanistan
Frontal Bone
Head Injuries, Penetrating
Humans
Male
Maxillary Sinus
Maxillary Sinusitis
Military Personnel
Neurosurgical Procedures
Otorhinolaryngologic Surgical Procedures
Reconstructive Surgical Procedures
Sensation Disorders
Skull Base
Skull Fracture, Basilar
Treatment Outcome
Trigeminal Nerve Diseases
Wounds, Gunshot
| | Abstract | BACKGROUND: An Afghani man presented to a U.S. military facility in Afghanistan with a 3-month history of clear fluid from his left naris and frequent sinusitis. Eleven years earlier, he had been struck in the forehead by an object falling from the sky.
MATERIALS AND METHODS: Neurologic examination revealed decreased sensation in V1 and V2 on the left side. Imaging revealed a large bullet lodged in the left maxillary sinus.
FINDINGS: The bullet was removed via sublabial incision and opening of the anterior bony wall of the maxillary sinus.
CONCLUSIONS: In Afghanistan, indirect gunshot wounds to the head are not uncommon because of the constant war conditions since the invasion by the former Soviet Union in 1979 and the tradition of firing rounds into the air during cultural celebrations. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 19015810 |
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