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Management of Maxillofacial Gunshot Trauma in the Stomatology and Maxillofacial Surgery Departments of Ouagadougou

Open Journal of Stomatology 2023年第10期13卷 342-352页

作者： Mathieu Millogo Motandi Idani Arsène Coulibaly Michel Fabien Dargani mahamadi sanfo Tarcissus Konsem Department of Stomatology and Maxillofacial Surgery Tengandogo University Hospital Ouagadougou Burkina Faso Department of Stomatology and Maxillofacial Surgery Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso Department of Stomatology and Maxillofacial Surgery Ouahigouya Regional University Hospital Ouagadougou Burkina Faso

Introduction: Maxillofacial ballistic trauma is a serious injury that is difficult to manage, with significant complications and after-effects. The authors report their experience in managing this type of trauma in the context of insecurity linked to terrorism. Patients and Methods: This was a descriptive cross-sectional study with retrospective data collection covering the period from January 1, 2018 to December 31, 2022 in the stomatology and maxillofacial surgery departments of the university hospitals of Ouagadougou. Results: In 5 years, 52 patients were collected, i.e. 10.4 cases per year. The mean age of the patients was 31.46 ± 15.41 years, and the sex ratio was 3. In 67.31% of patients, these injuries were the result of shootings during terrorist attacks. The jugal (36.54%) and chin (32.69%) regions were the most affected. The mandible (36.54%) and zygomatic bones (28.85%) were the most injured bones in these traumas. All patients underwent surgical treatment, and 25% suffered secondary complications. All patients retained at least one sequela. Conclusion: Maxillofacial injuries caused by ballistic trauma are true emergencies that can be life-threatening and functionally disabling. Their management is delicate and the outcome is uncertain, hence, the prevention is important.

关键词： Gunshot Trauma Maxillofacial Facial Fracas Terrorism

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