Intraoperative navigation assisted reconstruction of a maxillo-facial gunshot wound.
BACKGROUND
This case report describes a suicidal gunshot wound to the head using a handgun (9 x 19 mm). During mandibular penetration, the solid hollow point projectile (Aktion4) was deformed but did not fragment. The mandible, mid-face, orbit, and nasal complex were severely damaged. Here, the authors present, for the first time, a new approach for bilateral mid-facial fractures.


METHODS
For virtual reconstruction, a naso-orbito-ethmoidal complex of an unaffected skull (same age, sex, and ethnic group) was merged into the computed tomography (CT) data set. Based on this data set, a navigation assisted operation was performed.


CONCLUSIONS
The favorable outcome leads us to recommend the technique of merging comparable CT data for reconstructive planning of bilateral mid-facial fractures.
Stuehmer
Constantin
C
Department of Oral and Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. constuehmer@web.de
Essig
Harald
H
Schramm
Alexander
A
Rücker
Martin
M
Eckardt
André
A
Gellrich
Nils-Claudius
NC
D000328:Adult; D016025:Bone Transplantation; D002102:Cadaver; D005004:Ethmoid Bone / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D008440:Maxillary Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D008446:Maxillofacial Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D009295:Nasal Bone / Q000000981:diagnostic imaging; D009915:Orbit / Q000000981:diagnostic imaging; D020273:Orbital Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D013406:Suicide, Attempted; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014584:User-Computer Interface; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*