Asian Journal of Case Reports in Surgery

Face trauma caused by firearms is dangerous because of the potential damage to vascular nervous structures, particularly when the seat is parotid and infra-temporal.

We report the case of a child victim of an accidental firearm shot with a point of impact at the level of the right infra-temporal fossa.

The clinical examination had objectified the point of entry of the foreign body at the level of the right parotid region associated with trismus. The scanner showed a foreign body located in the deep areas of the face without vascular or cerebral damage. Extraction was performed under general anaesthesia by trans parotid route without complications or sequelae.

The presence of a metallic foreign body in the deep spaces of the face requires a clinical and radiological examination in order to plan its safe extraction.