Author/Authors :
Çelikel, Adnan Mustafa Kemal Üniversitesi - Tıp Fakültesi - Adli Tıp AD, Türkiye , Arlı, Cengiz Mustafa Kemal Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz AD, Türkiye , Zeren, Cem Mustafa Kemal Üniversitesi - Tıp Fakültesi - Adli Tıp Ana Bilim Dalı, Türkiye , Demirkıran, Dua Sümeyra Mustafa Kemal Üniversitesi - Tıp Fakültesi - Adli Tıp AD, Türkiye
Abstract :
Objective: The aim of this study is to investigate the im¬portance of the initial radiographies of patients whose first medical intervention was made outside the country borders and recovered after treatment in our hospital. Methods: The patients with maxillofacial trauma due to gunshot and shrapnel injuries who were treated by Department of Otolaryngology in the last year were examined retrospectively. Twenty two patients were included to the study, who had injuries in another country and who were received initial medical treatments there. The maxillofacial computed tomographies of patients which were performed before the treatment were evaluated according to the direction of movement of bone fracture fragments. Results: The youngest patient was 17 years old and the oldest one was 43 years old. All the patients were male. It was observed that all of the patients were referred to our hospital after the first intervention had been made in other medical centers. There was no reliable information about the event of injury and type of used weapon. According to the findings of the radiological images, the directions of shootings were determined by the evaluation of the directions of bone fragments in 19 (86.4%) patients. Conclusion: The initial radiographic images of dead or medically treated patients with bone fractures due to gunshot injuries, in cases with unidentified origins and injury mechanisms, play an important role in the determination of the direction of shooting. The wounds have been identified whether they are entry or exit wounds when the directions of fire are determined.
