Radiology of maxillofacial gunshot injuries.

The relative advantages and disadvantages of conventional facial radiographic techniques, facial tomography, and carotid arteriography for gunshot injury cases are discussed. The conventional series of skull, facial, or cervical spine projections forms a base line upon which the more complex procedures may be added. Five cases illustrate the radiographic principles involved in the determination of gunshot fragment localization, bone fracture, soft-tissue swelling, and maxillary sinus involvement.