Browsing by Author "Agrawal, Shruti"
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Publication Mandibular access osteotomy to retrieve a bullet lodged in infratemporal fossa: a case report(Madhesh Institute of Health Sciences (MIHS), 2025) Agrawal, Shruti; Basnet, Yogendra; Sharma, Resha; Dutta, Anu; Karna, Gaurav; Bhandari, KishorABSTRACT: Gunshot injuries to facial region are challenging due to complex anatomy of facial skeleton and pres- ence of vital structures. The bullet or projectile can get lodged in an area of limited access and close to neurovascular structures. Here, we present a case of 20 years male who presented with an acciden- tal gunshot injury to his face with penetrating entry wound over right malar region and no exit wound. CT scan of face revealed communited fractures of bones of right midface and a single bullet lodged in right infratemporal fossa. To gain access to the bullet, mandibular right subcondylar osteotomy was done. Man- dibular access surgery via right subcondylar osteotomy provided the shortest route of access to the bullet with reduced need of soft tissue dissection and preservation of vital neurovascular structures.