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evaluation of missile injuries in the Maxillofacial region in Mosul City-Iraq (2007-2011) | ||
| Al-Rafidain Dental Journal | ||
| Article 30, Volume 11, Issue 3, 2011, Pages 237-254 PDF (4.82 M) | ||
| Document Type: Research Paper | ||
| DOI: 10.33899/rden.2011.164458 | ||
| Authors | ||
| Ali S Mahmood; Israa A. Abd Al-Hameed; Mohammad S. Suleiman | ||
| Abstract | ||
| Aims: The aim of this study was to describe a new classification for missile wounds with the treatment for each type, describing a classification for bullets and blast missiles and other effects of explosion. Moreover; to determine the factors affecting morbidity of wounds. Materials and Methods: The study comprised 213 patients who were admitted to AL-Jumhurri Teaching Hospital in Mosul City, Iraq in the period extending from 1/2/ 2007 to 1/2/2011 who have sustained different injuries in the Maxillofacial region resulting from different types of war missiles. All patients were evaluated by clinical examination, plain radiography of the maxillofacial region and history of accident was recorded. The study focused on three groups: Group A: Included (80) patients with bullet injuries in which the bullets were still inside the body in the maxillofacial region, Group B: Included the victims of (5) explosions that included (93) patients with blast missiles, Group C: Included (40) patients injured with high and low velocity bullets that involved soft or soft and hard tissue. The recommended surgical operations for missile extraction and definitive treatment application were employed by the same oral and maxillofacial surgeon. The type, shape of missiles, description of injuries and treatment were recorded. Results: The study showed that the most common bullets were the classical type 67.5% while the most common explosion effect was from shells 39.7%.The study also described a new classification for missile wounds with description of treatment for each type. No statistical significant difference was disclosed in the morbidity of injuries between low and high velocity missiles that involved soft tissues only or a combination of both soft and bone tissues at p value <0.05, while there was a highly significant difference in the morbidity of injuries between soft tissues and soft with bone tissues involvement in low velocity missiles at p value<0.01 and there was a very highly significant difference in high velocity missile sat p-value < 0.001. Conclusions: The present research placed a new specific classification for missile wounds and their management, and placed a classification for missile and explosion effects. The study also concluded that the morbidity of missile injury in the maxillofacial region depends on the type of tissue involvement more than the effect of missile velocity. | ||
| Keywords | ||
| War injury; Missile injury; High velocity bullet | ||
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