Engelsk titel: Surgical removal of a softgun plastic bullet from the lower lip
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Författare:
Wegge-Larsen, Anne-Mette
;
Jensen, Thomas
Email: anwegg@rm.dk
Språk: Dan
Antal referenser: 13
Dokumenttyp:
Fallbeskrivning
UI-nummer: 17090201
Sammanfattning
Background – A softgun lesion is categorized as a low velocity
lesion and is rarely seen. Improper handling, lack of protective
equipment and fire at close range can result in injuries including
damage to the eyes, teeth, and face.
Case study – A 12-year-old boy was admitted to the Department
of Oral and Maxillofacial Surgery, Aalborg University Hospital, for
removal of a softgun plastic bullet in the lower lip. The injury had
happened 10 days prior during play without use of safety equipment.
An x-ray showed a well-defined round radiopaque foreign
body located in the soft tissue near the mandibular base in region
33, 34. The bullet was removed through an intraoral approach
with an non-complicated healing.
Conclusion – Softgun plastic bullets embedded in the facial skin
or oral mucosa must be removed. The location of the bullet in
the soft tissue can be challenging why the use of radiographic
reference points as guidance can be useful for visualization of the
location of the bullets during the surgical removal.