Case report
Civilian Casualty of Landmine – The Pattern of Injury and Course of Treatment
Naranđa Aljinović Ratković
; Department of Maxillofacial Surgery, School of Medicine, University of Zagreb, University Hospital Dubrava, Zagreb, Av. Gojka Šuška 6, Croatia
Vatroslav Bubalo
; Department of Prosthetic Dentistry, University Hospital Dubrava, Zagreb, Av. Gojka Šuška 6,Croatia
Ana Havelka Meštrović
; Department of Psychiatry, University Hospital Dubrava, Av. Gojka Šuška 6, Zagreb, Croatia
Vlatko Mičković
; Department of Anthropology, University of Zagreb, Zagreb, Gajeva 32, Croatia
Zoran Lončar
Abstract
In Croatia civilian casualties of landmine explosions 20 years after the war are still present. The presented case is a 42 years old housewife who sustained multiple body and face injuries while cleaning her courtyard. The treatment was performed in several steps. Initial treatment included thoracic drainage, abdominal surgery and the rigid fixation of the mandibular defect. Four months later mandibular reconstruction with free flap was performed. After plate removal the restoration of dental status was performed by partial denture although the application of dental implants would be superior. The optimal rehabilitation was omitted because heath insurance policy does not provide the reimbursement of dental implants costs for outpatients even in cases of landmine victims traumatic teeth loss.
Keywords
landmine; civilian casualty; mandibular injury; reconstruction; prosthetic rehabilitation
Hrčak ID:
205236
URI
Publication date:
28.12.2017.
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