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Case Reports in Emergency Medicine
Volume 2015, Article ID 680279, 5 pages
http://dx.doi.org/10.1155/2015/680279
Case Report

A Bullet Entered through the Open Mouth and Ended Up in the Parapharyngeal Space and Skull Base

1Department of Otolaryngology, Calcutta National Medical College, Kolkata, West Bengal 700014, India
2Department of General Emergency, Medical College, Kolkata, West Bengal 700073, India

Received 21 April 2015; Accepted 25 May 2015

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2015 Saileswar Goswami and Choitali Goswami. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Shot from a revolver from a close range, a bullet pierced the chest of a policeman and entered through the open mouth of a young male person standing behind. The entry wound was found in the cheek mucosa adjacent to the left lower third molar. After hitting and fracturing the body and the ramus of the mandible, the bullet was deflected and was finally lodged in the parapharyngeal space and skull base, anterolateral to the transverse process of the atlas. The great vessels of the neck were not injured. The patient’s condition was very critical but his life could be saved. The bullet was approached through a modified Blair’s incision and was found to be lying over the carotid sheath. It was removed safely and the patient recovered completely.