Awful face of the war-impacted smoke bomb capsule in the face and systemic toxicity: reports from the conflict in Syria
| Autor: | Mustafa Ozgur, Remzi Firinciogullari, Nebil Yeşiloğlu, Rafet Özbey, Ali Gökkaya, Bahar Yilmaz |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Warfare Chemical burn Poison control Smoke bomb Bombs Eye Injuries Fatal Outcome Chlorides Blast Injuries Smoke Injury prevention medicine Humans Craniofacial Facial Injuries Skull Base Respiratory Distress Syndrome Syria Impaction business.industry Multiple Trauma General Medicine Skin Transplantation Cheek Plastic Surgery Procedures medicine.disease Surgery Radiography medicine.anatomical_structure Systemic toxicity Otorhinolaryngology Debridement Zinc Compounds business |
| Zdroj: | The Journal of craniofacial surgery. 26(1) |
| ISSN: | 1536-3732 |
| Popis: | In this study, a rare kind of injury due to smoke bomb capsule impaction to midface and under the cranial base is presented, and maneuvers to reduce mortality are discussed. Three male patients were presented with impacted smoke bomb capsules into the midface and under the cranial base structures. Midface structures, anterior cranial base, and, in 2 patients, unilateral eye were severely damaged. Two patients died after the initial emergency operations because their lung disease progressed to acute respiratory distress syndrome. One of the patients lived, and soft tissue reconstruction was achieved by using temporal transposition and cheek advancement skin flaps with split-thickness skin graft from donor site. However, craniofacial destruction is important in these patients; a multidisciplinary approach is needed for the treatment of direct smoke bomb injuries because the patients experienced chemical burn and acute trauma. The timing of maxillofacial reconstruction is also a question in these specific patients. Language: en |
| Databáze: | OpenAIRE |
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