AIM OF THE STUDY Aim of the study is to present our own experiences in the treatment of people suffering from penetrating neck traumas. MATERIAL AND METHODS In the years 1996-2012, 10 patients with penetrating neck traumas were treated, including 3 women and 7 men. The patients' age ranged from 16 to 55 (the average age being 40.7 years). In 9 cases the wound was caused by cutting or stabbing...

Microvascular free tissue transfer (FTT) is an increasingly used method of reconstruction for traumatic defects of the head and neck. We describe the immediate management, FTT reconstruction techniques, and outcomes of 6 individuals who sustained maxillofacial gunshot trauma and were treated at a single tertiary-care level I trauma center. All 6 patients were white men with a mean age of 33 yea...

BACKGROUND Gunshot wounds to the cervical spine most frequently concur with serious injuries to the spinal cord and cervical vessels and often have a fatal outcome. CASE REPORT We describe the case of a 35-year-old male with a complex fracture of the C2 vertebra body and a mandibular fracture after a penetration gunshot to the cervical spine. Computed tomography (CT) at admission revealed the...

The analysis of trauma to the skeleton is an important aspect of forensic case work, but most major pathology references devote limited attention to this topic. The aim of this paper is to analyze bevelling in exit gunshot wounds from a series of 14 cases with 17 exit wounds. Assessment of bevelling was made by measuring the endocranial and ectrocranial size of the wound, locating the most pron...

OBJECTIVE To analyze the experience of nonoperative management (NOM) of renal injuries caused by a firearm projectiles (FAP) in the right thoraco-abdominal region in patients with hemodynamic stability and no signs of peritoneal irritation, highlighting the assessment of the safety of this approach. METHODS This was a prospective study with patients sustaining injuries by FAP in the right tho...

Recent guidelines have been produced advising doctors working in emergency departments that they should report all gunshot injuries to the police (albeit with consent in all but very limited circumstances). This article will discuss some of the legal and ethical issues that surround breaking patient confidentiality in relation to gunshot wounds and other potentially dangerous patients; and look...

An 18-year-old man was admitted to the Emergency Unit shortly after having a gunshot wound in the neck. The patient developed an acute flaccid tetraplegia combined with arreflexia and sphincter impairment. He was promptly intubated and immobilized with a cervical spine collar. Threedimensional (3D) cervical computed tomography (CT) scan showed the bullet trajectory with entrance on the right si...

There has been an increase in gun-related crime in Ireland over the last decade to gangland violence, especially in west Dublin. This places a burden on hospital services not previously encountered. The aim of this study was to examine the demographics of gunshot: injuries presenting to a Dublin teaching hospital, and the impact on radiology over a ten year period. A total of 65 gunshot injurie...