AN INTRAORAL FIRECRACKER SUICIDE CASE REPORT AND LITERATURE REVIEW drsatyaprakash04@gmail.com

 

AN INTRAORAL FIRECRACKER SUICIDE CASE REPORT AND LITERATURE REVIEW

1

India

Poster Exhibition only

The explosion of a firecracker creates radial blast waves similar to bomb blasts. Explosions inside the oral cavity is associated with the involvement of multiple vital organs. In order to prevent death due to respiratory compromise caused by oral bleeding and facial bone fractures, emergency medical care must be sought immediately.

41-year-old man presented to the surgical emergency room complaining of a firecracker blast in the oral cavity during a suicide attempt. Upon arrival, he had oral bleeds, and deformities of the mouth due to soft tissue injuries to the lips and buccal mucosa in the oral cavity, but the tongue was intact, able to articulate well, and breathing spontaneously. Pulse rate, blood pressure, and Spo2 were 110/minute, 120/70, and 96%, respectively. Examinations of the abdominal, cardiac, neurological, and respiratory systems were also normal.

Several deep lacerations were present on both lips and communicated with lacerations in the oral cavity. After suturing all lacerations with absorbable sutures, the patient was discharged on day 7.

Firecracker blasts inside the oral cavity are an unusual way of committing suicide. Due to the direct effect on the laryngo-trachea region and the skull base with the brain, it is a dangerous mechanism of injury.