Most facial gunshot wounds (GSWs) are treated at local level 1 trauma centers in urban settings. These injuries are complex because they involve the skull bones, brain, and blood vessels as well as respiratory complications and psychological issues. Their management remains controversial in terms of treatment timing and reconstructive technique. And the associated financial implications also present a challenge because these patients are more likely to be uninsured, with their care costing more than the reimbursement provided.
