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07-23-2024, 04:29 PM
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Facial Trauma by an AK-47
Case Report A police chief was struck in the face by an AK-47 and sustained extensive facial injuries that included the loss of most of the left zygomaticomaxillary complex, a shattered left zygomatic arch, orbital rim and floor, loss of most of his nose, and a gaping wound of the left midface (Fig. 1). A “home run” surgery was undertaken through a planned, bicoronal flap. Conchal cartilage was harvested to replace the missing upper and lower lateral nasal cartilages and a paramedian forehead flap was used to cover the nasal skin defect (Figs. 2, 3). Within a few weeks of this surgery, the medial portion of the cervicofacial flap died and the patient exposed midface plates and craniofacial grafts (Fig. 4). |