AI Article Synopsis
- - Gunshot wounds to the head (GSWH) are a leading cause of severe brain injuries and have a high mortality rate, especially since they are rare in Europe, leading to fewer experienced neurosurgeons.
- - A specific case is presented where a bullet entered the temporal bone, causing facial nerve paralysis, which was treated through a surgical method known as the transotic approach, with microsurgical repair between the masseteric nerve and the facial nerve.
- - The conclusion emphasizes the severe consequences of GSWH, noting high in-hospital mortality rates and complications for survivors, but suggests that direct nerve repair between the masseteric and facial nerves can be an effective treatment for facial paralysis.
Article Abstract
Introduction: Gunshot wounds to the head (GSWH) account for the majority of penetrating brain injuries, and are the most lethal. Since they are rare in Europe, the number of neurosurgeons who have experienced this type of traumatic injury is decreasing, and fewer cases are reported in the literature.
Case: We describe a case of gunshot to the temporal bone in which the bullet penetrated the skull resulting in the facial nerve paralysis. It was excised with the transotic approach. Microsurgical anastomosis among the masseteric nerve and the facial nerve was performed.
Conclusion: GSWH are often devastating. The in-hospital mortality for civilians with penetrating craniocerebral injury is very high. Survivors often have high rate of complications. When facial paralysis is present, masseteric-facial direct neurorraphy represent a good treatment.
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| http://dx.doi.org/10.5137/1019-5149.JTN.7325-12.1 | DOI Listing |
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