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Case Reports in Otolaryngology
Volume 2015, Article ID 245360, 5 pages
Case Report

Ballistic Reconstruction of a Migrating Bullet in the Parapharyngeal Space

1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich and University of Zurich, 8091 Zurich, Switzerland
2Institute of Forensic Medicine, University of Zurich, 8057 Zurich, Switzerland

Received 28 October 2015; Revised 22 November 2015; Accepted 23 November 2015

Academic Editor: Dinesh K. Chhetri

Copyright © 2015 David Bächinger et al. 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.


A 21-year-old male suffering from severe throat pain after being hit by a bullet in Syria claimed that he was shot through his eye and that the bullet subsequently descended behind his throat. Even though the first medical report stated that this course is implausible, meticulous workup provided evidence that the bullet might have entered the parapharyngeal space in a more cranial position than the one it was found eight months later. Our case highlights that bullets are able to move within the body, rendering ballistic reconstruction difficult. However, after removal of the bullet the patient’s symptoms completely resolved.