Journal article
Assessment of Early and Late Management of Submental Gunshot Wounds
Facial plastic surgery & aesthetic medicine, Vol.26(6), pp.786-792
11/01/2024
DOI: 10.1089/fpsam.2023.0359
PMID: 38747171
Abstract
Management of submental gunshot wounds is becoming more common and requires complex surgical decisions.
Compare outcomes of early and definitive reconstructive techniques following submental gunshot wounds.
Retrospective chart review evaluated subjects who sustained a self-inflicted submental gunshot. The incidence of complications requiring unplanned operations was compared for early management techniques of skin/soft tissue, bone, and mucosal lining and definitive reconstructive techniques using Fisher's or Pearson Chi-square exact test with
≤ 0.05 considered statistically significant.
The total of 27 patients were included. Early techniques included skin = primary soft tissue closure (
= 19) versus wound vacuum-assisted closure (
= 8); mandible = open reduction internal fixation (ORIF) (
= 19) versus external fixation (
= 8); and oral mucosal lining = primary mucosal closure (
= 20) versus dermal substitute (
= 7). Definitive management included ORIF (
= 10, 37%), ORIF with bone grafting (
= 8, 30%), and microvascular free-flap (
= 9, 33%). The incidence of complications requiring unplanned operation when using dermal substitutes for mucosal lining management was statistically higher than primary closure (
< 0.001); otherwise the complication rates of surgical techniques were equivalent.
Several surgical decisions and techniques can be utilized at the time of early and definitive management of submental gunshot wounds. Only the use of dermal substitutes for mucosal lining is associated with a significantly higher rate of unplanned operation.
Details
- Title: Subtitle
- Assessment of Early and Late Management of Submental Gunshot Wounds
- Creators
- Piper A Wenzel - University of IowaMichael P Rizk - Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USAAlexander Michael - Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USATerry Yin - Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USABrian T Andrews - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Facial plastic surgery & aesthetic medicine, Vol.26(6), pp.786-792
- DOI
- 10.1089/fpsam.2023.0359
- PMID
- 38747171
- NLM abbreviation
- Facial Plast Surg Aesthet Med
- eISSN
- 2689-3622
- Language
- English
- Electronic publication date
- 05/15/2024
- Date published
- 11/01/2024
- Academic Unit
- Stead Family Department of Pediatrics; The University of Iowa Institute for Vision Research; Craniofacial Anomalies Research Center; Neurosurgery; Otolaryngology
- Record Identifier
- 9984628160302771
Metrics
16 Record Views