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Year : 2021  |  Volume : 7  |  Issue : 3  |  Page : 261-264

Removal of Bullet from Infratemporal Fossa Through Endoscopic Approach

Department of ENT & Head and Neck Surgery, Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Dr. Mohamed Riyas Ali
Senior Resident, Department of ENT and Head & Neck Surgery, Maulana Azad Medical College, New Delhi 110002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mamcjms.mamcjms_33_21

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Head and neck wounds account for a large majority of gunshot and firearm-related injuries. The morbidity and mortality associated with such injuries are high due to the presence of various vital structures in the vicinity, such as trachea, esophagus, carotid and vertebral artery, brachial plexus, and so on. Damage to any of these can lead to devastating results. However, in rare cases, there can be unusual trajectories of the bullet bypassing these structures. Here, we present one such case of a 35-year-old man where the bullet got lodged in the infratemporal fossa and it was successfully removed by trans-maxillary endoscopic approach. Transmaxillary endoscopic approach for infratemporal fossa is a minimally invasive technique with low morbidity, better acceptability, and quicker postoperative recovery than traditional approaches.

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