Figure 3.

A 26-year-old man with a gunshot wound to the right ear and orbit. (a) Computed tomography (CT)-scout image anterior view and (b) lateral view. Double arrows demonstrate the entry site at the right zygoma with a completely disintegrated bullet. (c) Admission CT, axial views, bone windows, showing the metal artifacts from the bullet case, which was scattered along the sphenoid bone. (d) Preoperative coronal reconstructions of the bone windows, demonstrating the midline crossing bullet trajectory as indicated by the arrows (star represents ricochet point). Note that the path does not cross a sinus or the ventricles. (e) Immediate postoperative result also in coronal reconstructions after a wide right hemicraniectomy with duroplasty. (f) Postoperative CT scan on the same day in soft tissue windows after decompression as indicated by the arrows. Note the new left frontal hemorrhagic contusion from the bullet fragment that was bounced off the inner table at the ricochet point