Extensive gunshot wound to the face: a case report


  • Tales Gabriel de Souza Cerioni Universidade de São Paulo
  • Rafael Jorge Ruman Clínica Ruman
  • Willian Jamil Hassanieh Clínica Ruman
  • Gustavo Rodrigues Manrique Ideale Cirurgia Bucomaxilofacial e Implantes
  • Wladimir Gushiken de Campos Universidade de São Paulo
  • Alexandre Viana Frascino Sabará Hospital Infantil
  • Flavio Carneiro Hojaij Universidade de São Paulo




Head injuries, penetrating, Gun violence, Fracture fixation, internal, Jaw fixation techniques


Facial fractures caused by gunshots are a major challenge for oral and maxillofacial surgeons. Underdeveloped countries present a higher rate of homicides committed by gunshots than developed countries. This case report presents a 25 year-old male victim of a gunshot wound to the mandible, evolving into a complex fracture. The fracture was treated using rigid internal fixation. After 18 months of follow-up, the patient presents good facial appearance and masticatory activity. The gunshot caused the permanent paralysis of the right mandibular branch of the facial nerve. We managed to preserve the involved teeth and mandibular integrity, with complete bone healing. Despite the late infection following plate fixation, healing occurred without further complications, indicating that blood supply was maintained.


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Author Biographies

Tales Gabriel de Souza Cerioni, Universidade de São Paulo

Medical-Surgical Anatomy Laboratory, School of Medicine, University of São Paulo (USP), São Paulo, SP, Brazil

Rafael Jorge Ruman, Clínica Ruman

Oral and Maxillofacial Surgery and Trauma Clinic Ruman, Osasco, SP, Brazil

Willian Jamil Hassanieh, Clínica Ruman

Oral and Maxillofacial Surgery and Trauma Clinic Ruman, Osasco, SP, Brazil

Gustavo Rodrigues Manrique, Ideale Cirurgia Bucomaxilofacial e Implantes

Ideale Oral and Maxillofacial Surgery and Dental Implants, Osasco, SP, Brazil

Wladimir Gushiken de Campos, Universidade de São Paulo

Department of Stomatology, School of Dentistry, University of Sao Paulo (USP), São Paulo, SP, Brazil

Alexandre Viana Frascino, Sabará Hospital Infantil

Children’s Hospital Sabará, São Paulo, SP, Brazil

Flavio Carneiro Hojaij, Universidade de São Paulo

Medical-Surgical Anatomy Laboratory, School of Medicine, University of Sao Paulo (USP), São Paulo, SP, Brazil


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Case report or technical report