Publication: Mandibular access osteotomy to retrieve a bullet lodged in infratemporal fossa: a case report
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Madhesh Institute of Health Sciences (MIHS)
Abstract
ABSTRACT:
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.
Description
Shruti Agrawal1, Yogendra Basnet1, Resha Sharma2, Anu Dutta3, Gaurav Karna4, Kishor Bhandari5,*
¹OMFS Resident, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
2Consultant Oral and Maxillofacial Surgeon, Madhesh Institute of Health Sciences, Janakpur
3Consultant Oral and Maxillofacial Surgeon
4Asst. Professor, Oral and Maxillofacial Surgery Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
5Assoc. Professor, Oral and Maxillofacial Surgery Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal