| Abstrakt: |
Background: Facial gunshot wounds present a complex challenge to both medical professionals and victims with significant physical, psychological, and economic implications for those who suffer these types of injuries. Reconstructive surgery offers satisfactory aesthetic and functional outcomes, improving a patient's quality of life. In these cases, the surgical procedure may encompass additional phases beyond those initially identified based on the type of wound and the extent of tissue destruction. As a result, each case necessitates thorough evaluation to determine an appropriate strategy. Nonetheless, it is worth noting that the outcomes achieved in terms of both aesthetics and functionality in this domain have the potential to be excellent. Case presentation: A 66-year-old man attempted suicide with a shotgun, causing severe facial injuries and fractures. He had a history of depression and was taken to the emergency department promptly. CT scans revealed brain and facial bone injuries, and he underwent surgery to control bleeding and tracheostomy. Postoperative recovery was successful. The patient's condition stabilized, and he was discharged after 10 days. Follow-up visits showed gradual healing. Despite an offer for further facial reconstruction, he declined, satisfied with the achieved results. Conclusions: The present case report is intended to support the argument that effective facial reconstruction should be considered in the medico-legal assessment. It could be beneficial to introduce a new classification system and personalized evaluation methods with careful consideration given to treatment costs (which can be very high) and expected results. Since reconstructive surgery modifies damage and impacts the long-term costs of permanent impairments, its inclusion in the decision-making process would promote improved personalized care. Key points: - Complexity and implications of facial gunshot wounds: Facial gunshot injuries are complex, posing challenges for both medical professionals and victims. The injuries have significant physical, psychological, and economic consequences, necessitating thorough and comprehensive attention due to potential long-term effects on the patient's life. - Reconstructive surgery for improved quality of life: Reconstructive surgery yields satisfactory aesthetic and functional outcomes, enhancing patients' quality of life. By addressing physical damage, it restores appearance and function, positively impacting overall well-being. - Thorough evaluation and personalized approach: Facial gunshot wound cases can involve unforeseen complexities beyond initial assessments. Comprehensive evaluation is crucial for devising personalized surgical strategies that consider each patient's unique circumstances. - Advocating for medico-legal consideration and personalized care: The case report underscores the importance of integrating effective facial reconstruction in medico-legal assessments. A new classification system and personalized evaluation methods can improve care, accounting for treatment costs, expected outcomes, and long-term implications. Tailored care enhances patients' well-being and decision-making processes. [ABSTRACT FROM AUTHOR] |
