Experience in the treatment of an infected gunshot wound of the submental region on the left with a foreign body in the floor of the mouth

Abstract

Self-inflicted facial injuries by firearms are high severity injuries. Features of the maxillofacial region, multi-layered and multi-component, containing vital organs, sometimes play a cruel joke in the aspect of diagnosis and treatment of penetrating injuries. Purpose. Presentation of a clinical case of an infected gunshot wound of the submental region on the left with a foreign body in the floor of the mouth (rubber bullet). >. A patient came to the Department of Maxillofacial and Plastic Surgery Republican Clinical Hospital of Abakan with complaints of pain when moving the tongue, feeling of a foreign body under the tongue, numbness of the left half of the tongue, suppuration from a wound in the submental region. During external examination, a violation of the configuration of the face is determined due to soft tissue edema in the submental, submandibular regions on the left. In the center of the edema there is a wound with uneven edges, 3.0 cm long, partially covered with a hemorrhagic crust. >. The treatment was performed under endonasotracheal anesthesia under aseptic conditions with the help of a scalpel, the wound in the submental region was extended by 1.0 cm in both directions. At a depth of 0.3 cm from the Varton duct, a black foreign body is determined. The postoperative stage proceeded without complications. On the 2nd day after the operation, the glove drain was removed. The sutures were removed on the 7th day. On 9th day he was discharged for outpatient aftercare at the place of residence with a dental surgeon. >. It should be remembered that a foreign body in the human body can cause various inflammatory manifestations, as well as disrupt the functioning of individual organs. As far as possible, all foreign objects that have entered the body in an unnatural way must be removed.