DOI:

10.37988/1811-153X_2025_2_108

Management of maxillofacial trauma accompanying the gunshot severe injuries of femoral arteries: A case report from Iraq

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Authors

  • A.M. Abdulkarem 1, lecturer at the Department of Maxillofacial Surgery
    ORCID: 0009-0005-8491-4487
  • R.A. Ashour 2, assistant lecturer at the College of Dentistry
    ORCID: 0009-0002-2589-3549
  • I.K. Abdullah 3, dean of College of Dentistry
    ORCID: 0000-0001-7398-4475
  • A.M. Abdulkareem 4, specialist doctor at the Department of vascular surgery
    ORCID: 0000-0002-4524-5568
  • K.A. Al Salihi 2, head of Scientific committee of the College of Dentistry
    ORCID: 0000-0002-5698-2678
  • 1 Al-Muthana University, 66001, Samawah, Iraq
  • 2 Al-Iraqia University, 10071, Baghdad, Iraq
  • 3 Alayen Iraqi University, 22042, Nasiriyah, Iraq
  • 4 Al-Yarmouk Teaching Hospital, 10015, Baghdad, Iraq

Abstract

Femoral vascular trauma is a distinctive condition for every patient that needs an individual special urgent care and management approach to reduce mortality in the golden hour. Nonetheless, the risk persists in polytrauma patients accompanied by maxillofacial injuries. This study documents life-threatening bilateral femoral injuries by a gunshot that was accompanied by maxillofacial trauma.
Methods.
In the emergency room of the field hospital at north of Iraq, a 35-year-old man was presented with a deteriorating condition due to multiple gunshot injuries. The patient was suffering from complete severance to the right and left superficial femoral arteries, left superficial femoral vein, femoral nerve, and maxillofacial injuries. Femoral blood vessels were first managed to stabilize the patient’s condition. Then, intermaxillary fixation and mandibular fracture were managed with screws for emergency and temporary fixation (by elastic, then by wires). One month postoperative, the patient revealed complete healing, but the patient suffered from intermittent lameness due to left femoral nerve injury.
Conclusion.
To the author’s knowledge, this is the first case report that documented the successful rescue of maxillofacial trauma associated with multiple gunshot femoral vessels severe injuries with an early return of the traumatic patient to his normal function.

Key words:

femoral arteries, gunshot wound, maxillofacial injuries, polytraumas, vascular traumas

For Citation

[1]
Abdulkarem A.M., Ashour R.A., Abdullah I.K., Abdulkareem A.M., Al Salihi K.A. Management of maxillofacial trauma accompanying the gunshot severe injuries of femoral arteries: A case report from Iraq. Clinical Dentistry (Russia).  2025; 28 (2): 108—113. DOI: 10.37988/1811-153X_2025_2_108

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Received

January 26, 2025

Accepted

June 2, 2025

Published on

July 5, 2025