Balaji Dental & Craniofacial Hospital

Balaji Dental ISO 9001:2008
Dr SM Balaji

Iraqi soldier’s eye saved after bullet injury


Unique reconstructive surgery performed at Balaji Dental & Craniofacial Hospital, Chennai

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An Iraqi soldier was maimed by a stray bullet in a civil unrest in Baghdad. The bullet entered the head at the nape of the neck, travelled through the base of the skull and exited just below the lower eyelid damaging the right upper jaw, eye bones and mid face. He was given first aid and subsequently brought to Balaji Dental & Craniofacial Hospital, Chennai for reconstruction of the face wherein he underwent successful rehabilitation.

Stray bullet passes close to eye

A 21-year-old male Iraqi soldier Hassanain Ibrahim Noori was severely wounded in a gunshot accident. During a civil unrest in Baghdad, unidentified miscreants shot at random and the victim was caught in the line of fire.

A close range bullet shot at medium or intermediate velocity, entered his skull at the nape of the neck, travelled through the base of the skull and exited just below the right lower eyelid severely damaging the eye socket, lower eyelid, cheek bone and upper jaw on the right side of the face. The intensity of the injury caused the right eye to hang low. He had a miraculous escape of life when the bullet narrowly missed two major arteries in the skull.

He was taken to a hospital nearby where he was given first aid only. He was further referred to Balaji Dental and Craniofacial Hospital for expert treatment and facial reconstruction.

Eminent Facio-Maxillofacial Surgeon Dr. S.M. Balaji carefully analyzed the ballistics injury. A CT scan was taken to gauge the extent of complexity. The bullet had damaged the soft tissue and bone of the upper jaw including the floor of the eye socket as well as parts of the lower eyelid.

A diligent and intricate surgical procedure was performed by the surgical team headed by Dr. Balaji to restore normal function and appearance. The right eyeball was lifted and a Titanium mesh was placed to reconstruct the floor of the right eye socket. A bone graft was taken from the patient’s ribs and was used to accurately re-contour the smashed right cheek and eye bone. Hassanain’s facial appearance and eyesight were restored to normalcy, thanks to the accomplished efforts of Dr. Balaji and his team. A much delighted Hassanain and his family returned to Iraq.
CASE

Bullet entry and exit wound
Bullet entry and exit wound
Titanium mesh used to lift the eyeball into position Reconsturuction of eye socket floor  using Titanium mesh and cartilage graft from patient rib
Titanium mesh used to lift the eyeball into position Reconsturuction of eye socket floor using Titanium mesh and cartilage graft from patient rib
CT scan images showing extent of damage due to bullet injury
CT scan images showing extent of damage due to bullet injury
Dr SM Balaji.
The Patient with Dr. S.M Balaji
Before and after surgery
Before and After Surgery