{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T01:05:03Z","timestamp":1769043903767,"version":"3.49.0"},"reference-count":12,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:p>The maxillofacial injuries sustained by British troops requiring aeromedical evacuation to the United Kingdom are almost exclusively treated at The Royal Centre for Defence Medicine in Birmingham. As a result the Maxillofacial Department has collectively gained extensive experience in the management of ballistic injuries. In many cases the most successful outcomes have been achieved by using traditional strategies combined with contemporary techniques. This paper will highlight the types of injuries sustained and discuss some cases that typify those the department has managed.<\/jats:p>","DOI":"10.1136\/jramc-156-02-11","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"110-113","source":"Crossref","is-referenced-by-count":18,"title":["Clinical Strategies in the Management of Complex Maxillofacial Injuries Sustained by British Military Personnel"],"prefix":"10.1136","volume":"156","author":[{"given":"Kieron","family":"McVeigh","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, University Hospital Birmingham kieronmcveigh@me.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Breeze","family":"J","sequence":"additional","affiliation":[{"name":"Royal Centre for Defence Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeynes","family":"P","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, University Hospital Birmingham kieronmcveigh@me.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"T","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, University Hospital Birmingham kieronmcveigh@me.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parmar","family":"S","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, University Hospital Birmingham kieronmcveigh@me.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monaghan","family":"AM","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, University Hospital Birmingham kieronmcveigh@me.com"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,6,1]]},"reference":[{"key":"ref_1","article-title":"Maxillofacial injuries in military personnel treated at the Royal Centre for Defence Medicine June 2001 to","author":"Breeze, J.; Gibbons, A.J.; Opie, N.J.; Monaghan, A.","year":"2007","unstructured":"Breeze J, Gibbons AJ, Opie NJ, Monaghan A. Maxillofacial injuries in military personnel treated at the Royal Centre for Defence Medicine June 2001 to December 2007. Br J Oral Maxillofac Surg. 2009 Nov 6. (Epub ahead of print)","journal-title":"Br J Oral Maxillofac Surg"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S0266-4356(89)80001-4","article-title":"Trends in Maxillofacial Injuries in Wartime (1914-1986)","volume":"27","author":"Dobson, J.E.; NewelI, M.J.; Shepherd, J.P.","year":"1989","unstructured":"Dobson JE, NewelI MJ, Shepherd JP. Trends in Maxillofacial Injuries in Wartime (1914-1986). Br J Oral Maxillofac Surg 1989; 27: 441-450.","journal-title":"Br J Oral Maxillofac Surg"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.joms.2009.06.006","article-title":"Characterization of Craniomaxillofacial Battle Injuries Sustained by United States Service Members in the Current Conflicts of Iraq and Afghanistan","volume":"68","author":"Lew, T.A.; Walker, J.A.; Wenke, J.C.; Blackbourne, L.H.; Hale, R.G.","year":"2010","unstructured":"Lew TA, Walker JA, Wenke JC, Blackbourne LH, Hale RG. Characterization of Craniomaxillofacial Battle Injuries Sustained by United States Service Members in the Current Conflicts of Iraq and Afghanistan. J Oral Maxillofac Surg 2010;68:3-7","journal-title":"J Oral Maxillofac Surg"},{"key":"ref_4","first-page":"1063","article-title":"Acinetobacter baumannii infections amongst patients at military medical facilities treating injured US service members, 2002-2004","author":"Scott, P.T.; Peterson, K.; Fishbain, J.","year":"2004","unstructured":"Scott PT, Peterson K, Fishbain J et al. Acinetobacter baumannii infections amongst patients at military medical facilities treating injured US service members, 2002-2004. MMWR Morb Mortal Wkly Rep 2004; 53 (45): 1063-1066.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1186\/1471-2334-7-95","article-title":"Multi-drug resistant Acinetobacter infections in critically injured Canadian forces soldiers","volume":"7","author":"Tien, H.C.; Battad, A.; Bryce, E.A.","year":"2007","unstructured":"Tien HC, Battad A, Bryce EA et al. Multi-drug resistant Acinetobacter infections in critically injured Canadian forces soldiers. BMC Infectious Diseases 2007; 7: 95.","journal-title":"BMC Infectious Diseases"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.coms.2005.05.003","article-title":"Maxillofacial Trauma Treatment Protocol","volume":"17","author":"Powers, D.B.; Will, M.J.; Bourgeois, S.L.; Hatt, H.D.","year":"2005","unstructured":"Powers DB, Will MJ, Bourgeois SL, Hatt HD. Maxillofacial Trauma Treatment Protocol. Oral Maxillofacial Surg Clin N Am 2005; 17: 341-355.","journal-title":"Oral Maxillofacial Surg Clin N Am"},{"key":"ref_7","article-title":"Maxillofacial Trauma Reconstruction. Facial Plast Surg Clin N Am","author":"Futran, N.D.","year":"2009","unstructured":"Futran ND. Maxillofacial Trauma Reconstruction. Facial Plast Surg Clin N Am; 17 (2009):239-251."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.otohns.2004.08.013","article-title":"Definitive management of severe facial trauma utilizing free tissue transfer","volume":"132","author":"Futran, N.D.; Farwell, D.G.; Smith, R.B.","year":"2005","unstructured":"Futran ND, Farwell DG, Smith RB et al. Definitive management of severe facial trauma utilizing free tissue transfer. Otolaryngol Head and Neck Surg 2005;132:75-85.","journal-title":"Otolaryngol Head and Neck Surg"},{"issue":"213 -218","key":"ref_9","article-title":"Gunshot wounds to the head and neck. Curr Opin Otolaryngol Head and","volume":"15","author":"Vishal, S.; Farwell, D.G.","year":"2007","unstructured":"Vishal S, Farwell DG. Gunshot wounds to the head and neck. Curr Opin Otolaryngol Head and Neck Surg 2007;15:213 -218.","journal-title":"Neck Surg"},{"issue":"4","key":"ref_10","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/0278-2391(91)90368-V","article-title":"Small-vessel pathology and anastomosis following maxillofacial firearm wounds: an experimental study","volume":"49","author":"Tan, Y.H.; Zhou, S.X.; Liu, Y.Q.; Liu, B.L.; Li, Z.Y.","year":"1991","unstructured":"Tan YH, Zhou SX, Liu YQ, Liu BL, Li ZY. Small-vessel pathology and anastomosis following maxillofacial firearm wounds: an experimental study. J Oral Maxillofac Surg 1991; 49(4): 348-52","journal-title":"J Oral Maxillofac Surg"},{"issue":"8","key":"ref_11","first-page":"861","article-title":"Treatment considerations for comminuted mandibular fractures","volume":"61","year":"2003","unstructured":"Ellis E 3rd, Muniz O, Anand K. Treatment considerations for comminuted mandibular fractures. J Oral Maxillofac Surg 2003; 61(8): 861-70. This article describes the combined lessons learned from two deployments of a cadre of British Oral and Maxillofacial surgeons to Kandahar between July 2006 to April 2007, and September 2008 to April 2009.","journal-title":"J Oral Maxillofac Surg; This article describes the combined lessons learned from two deployments of a cadre of British Oral and Maxillofacial surgeons to Kandahar between July 2006 to"},{"key":"ref_12","article-title":"The British Oral and Maxillofacial Surgery Cadre have been deployed twice to the Role 3 multinational military hospital in Kandahar Afghanistan. Eight consultants deployed from July 2006 to April 2007, and five consultants, two of whom were accompanied by registrars, from September 2008 to April 2009. The British Military Oral and Maxillofacial Cadre holds 2 meetings a year at which cases are presented and experiences are shared. This article aims to outline the key surgical principles of oral and maxillofacial surgery as practiced in a conflict zone and to highlight some of the lessons learned by surgeons","unstructured":"The British Oral and Maxillofacial Surgery Cadre have been deployed twice to the Role 3 multinational military hospital in Kandahar Afghanistan. Eight consultants deployed from July 2006 to April 2007, and five consultants, two of whom were accompanied by registrars, from September 2008 to April 2009. The British Military Oral and Maxillofacial Cadre holds 2 meetings a year at which cases are presented and experiences are shared. This article aims to outline the key surgical principles of oral and maxillofacial surgery as practiced in a conflict zone and to highlight some of the lessons learned by surgeons."}],"container-title":["Journal of the Royal Army Medical Corps"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jramc-156-02-11","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T21:59:07Z","timestamp":1755122347000},"score":1,"resource":{"primary":{"URL":"https:\/\/militaryhealth.bmj.com\/lookup\/doi\/10.1136\/jramc-156-02-11"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2010,6,1]]},"published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1136\/jramc-156-02-11"],"URL":"https:\/\/doi.org\/10.1136\/jramc-156-02-11","relation":{},"ISSN":["0035-8665","2052-0468"],"issn-type":[{"value":"0035-8665","type":"print"},{"value":"2052-0468","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]}}}