Eurasian J Oral Maxillofac Surg, cilt.4, sa.2, ss.39-42, 2025 (Hakemli Dergi)
Gunshot wounds (GSWs) are a significant cause of trauma in the maxillofacial region, particularly in the mandible. Following the establishment of a treatment plan, patients may experience various complications, which often necessitate a secondary surgical intervention to correct the patient's concerns. This case study presents the details of a 36-year-old female patient who experienced a gunshot injury six years ago, that resulted in a fracture of the mandibular ramus. As a consequence of the injury, the mandibular condyle and coronoid process migrated into the infraorbital fossa, causing difficulty with mastication and mouth opening. To correct this issue, a surgical procedure was performed that included submandibular and preauricular incisions. The condyle was replaced and fixed with rigid internal fixation and maxillomandibular fixation techniques. Additionally, an abdominal fat graft was harvested and transplanted into the mandible. Postoperative follow-up was conducted, but after two weeks, the patient developed an infection, necessitating a transfer to the infection department. Fortunately, after one month, the infection was successfully treated, and the patient was discharged in good health. In the follow-up period, the patient has acceptable function and well-being in the other health condition.