title: An unusual case of firearm injury to the face with bullet cover lodged in the nose.
abstract: We report an unusual case of an accidental firearm injury, in a 35-year-old male firearm trainer, by a bullet cover fired in a retrograde manner, which was lodged in his right nasal cavity just reaching sphenoid sinuses without any neurological impairment. The extent of tissue damage and posterior extent of tract was assessed by plain radiography and CT scans. The bullet cover was recovered under endoscopic guidance and the wound sutured with a small defect left for healing by secondary intention keeping in mind second stage reconstruction of the persisting defect. On follow up the wound had healed with good esthetic results. The case showed that gunshot injuries can be treated primarily as well that undermining of the edges of wound and regular well-lubricated dressings are key to good healing.
authors: ENT Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia. drsadat@rediffmail.com
authors: Saud
authors: S
authors: Al Saif
authors: Khalil
authors: K
authors: Al-Shaikh
authors: Hamed
authors: H
authors: Al Dhafiri
authors: Sadat
authors: S
authors: Qureshi
mesh_terms: D000328:Adult; D001458:Bandages; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008446:Maxillofacial Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D009666:Nose / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014945:Wound Healing; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*