作者报告12例颞下区枪弹伤,详细介绍了3个病例并提出处理方法。例一:男性,18岁。病史为枪弹由左耳前方射入3小时。检查时患者呈昏迷状态,有鼻出血及中度呼吸困难,给予气管内插管及气管切开。X线摄片显示双侧下颌骨髁状突粉碎性骨折,子弹经过双侧颞下区及鼻咽部,最后到达右下颌骨髁状突,鼻咽腔有中等量出血,后鼻孔填塞止血。颈动脉造影正常。双上颌间用橡皮绷带固定。经以上处理后仅后遗双下颌骨假关节形成。 The authors report 12 cases of infratemporal gunshot wounds, described in detail three cases and proposed treatment. Example 1: Male, 18 years old. A history of bullet injection from the left ear in front of 3 hours. The patient was unconscious during examination, had epistaxis and moderate dyspnea, and given endotracheal intubation and tracheotomy. X-ray showed bilateral mandibular condylar comminuted fracture bullets through the bilateral temporal and nasopharynx, and finally reached the right mandibular condyle, nasopharyngeal cavity moderate bleeding, after the nostril packing stop bleeding. Carotid angiography normal. Double maxillary with rubber bandage fixed. After the above treatment only after the formation of dual mandibular pseudarthrosis.