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Mandibular war injuries caused by bullets and shell fragments: a comparative study

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Abstract

Purpose

Is to compare the patterns, severity, and management of the high- and low-velocity mandibular war injuries managed at Al Shaheed Gazi Al-Hariri Hospital in Baghdad Medical City, Iraq, during a 2-year period.

Methods

Forty-one patients with a history of mandibular war injuries treated by our maxillofacial team were reviewed during a period of 2 years (2015–2017). All patients were treated in the Maxillofacial Unit of the Hospital of Specialized Surgeries in Baghdad Medical City.

Results

A 2-year retrospective study evaluated 41 patients with mandibular war injuries with a total of 94 fractures (comminution represents 79.06% of the bullet injuries, while it is only 62.74% with IED injuries). Management of these injuries was varied according to the severity of the injuries and resources available. Close reduction was used in 72.72% of the linear fracture cases, whereas open technique was used in 56.6% of the comminuted fractures.

Conclusions

Bullet injuries were associated with a higher number of mandibular comminuted fractures, in addition to more extensive bone loss. While shell injuries of IED (improvised explosive devices), on the other hand, were associated with higher infection rate and more postoperative complication.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, Iraq

    Auday M. AL-Anee, Ahmed Fadhel Al-Quisi & Hassanien A. Al-jumaily

  2. Oral and Maxillofacial Surgeon at Al-Shaheed Gazi AL-Hariri Teaching Hospital, Medical City, Baghdad, Iraq

    Auday M. AL-Anee & Hassanien A. Al-jumaily

  3. Oral and Maxillofacial Surgeon at Al-Kindi Teaching Hospital, Baghdad, Iraq

    Ahmed Fadhel Al-Quisi

Authors
  1. Auday M. AL-Anee
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  2. Ahmed Fadhel Al-Quisi
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  3. Hassanien A. Al-jumaily
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Corresponding author

Correspondence to Ahmed Fadhel Al-Quisi.

Ethics declarations

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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AL-Anee, A.M., Al-Quisi, A.F. & Al-jumaily, H.A. Mandibular war injuries caused by bullets and shell fragments: a comparative study. Oral Maxillofac Surg 22, 303–307 (2018). https://doi.org/10.1007/s10006-018-0710-1

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  • DOI: https://doi.org/10.1007/s10006-018-0710-1

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