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Facial Trauma Due To Grenade Explosion

Facial Trauma Due To Grenade Explosion 

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  #1  
02-24-2012, 03:03 PM
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Facial Trauma Due To Grenade Explosion

This previously healthy patient was admitted as an emergency case with a wound in the right nasogenian region as a result of a grenade explosion. The patient was quiet, responsive and co-operative. Clinical examination revealed preserved eye movements, pupils were equal and reflexes were intact. The skin colour was normal and mucous membranes moist. External oral examination revealed right upper lip paraesthesia, significant hemi-facial oedema (image A) and an intraoral to extraoral communicating injury of 2cm diameter with rough edges, but no active bleeding. Intraoral findings were generalised bruising, complete vertical fractures of the upper right canine, 1rst premolar, 2nd premolar and 1st molar (image B). Radiographic studies confirmed these fractures as well as revealing a fracture of the right upper alveolar ridge, and fragments of the explosive device at the level of the anterior wall of the maxillary sinus. The grenade splinters and tooth fragments that were removed from the injured area are shown in images C and D respectively.
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  #2  
02-24-2012, 03:18 PM
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Re: Facial Trauma Due To Grenade Explosion

Knocked out some teeth!
  #3  
02-24-2012, 03:35 PM
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Re: Facial Trauma Due To Grenade Explosion

More like a high powered air rifle.
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02-24-2012, 04:17 PM
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Re: Facial Trauma Due To Grenade Explosion

What's in picture D?
Shards?
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02-24-2012, 04:18 PM
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Re: Facial Trauma Due To Grenade Explosion

boom headshot
  #6  
02-24-2012, 06:19 PM
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Re: Facial Trauma Due To Grenade Explosion

I looked closer and I still have a hard time believing that is grenade fragments. Grenades are made out of cast steel I thought. This is lead that has been deformed by the impact. You can actually see how the nose of the pellet deformed.
  #7  
02-24-2012, 07:07 PM
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Re: Facial Trauma Due To Grenade Explosion

I looked closer and I still have a hard time believing that is grenade fragments. Grenades are made out of cast steel I thought. This is lead that has been deformed by the impact. You can actually see how the nose of the pellet deformed.
Many modern grenades have prestressed wire segments or small ball bearings that provide very uniform fragmentation effect.

The fragments in the photo do kinda seem like lead, but, I dunno.
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02-24-2012, 09:26 PM
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Re: Facial Trauma Due To Grenade Explosion

Many modern grenades have prestressed wire segments or small ball bearings that provide very uniform fragmentation effect.

The fragments in the photo do kinda seem like lead, but, I dunno.
Ya. Could be right. I'm not there to see and check it out. And the velocity it struck with is really extreme for an air rifle. And how does a grenade get close to a child? It could of been a grenade. It just doesn't look like it to me.
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02-25-2012, 06:37 AM
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Re: Facial Trauma Due To Grenade Explosion

Ya. Could be right. I'm not there to see and check it out. And the velocity it struck with is really extreme for an air rifle. And how does a grenade get close to a child? It could of been a grenade. It just doesn't look like it to me.
An air rifle could easily do that much damage up close.

I would think a grenade woulda taken the head off.
  #10  
02-25-2012, 08:04 AM
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Re: Facial Trauma Due To Grenade Explosion

The photo came directly from the people who treated the patient so i don't see the info being wrong on this.


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