Abstract Introduction Airguns are non-firearm pneumatic barrel weapons whose ammunition consists of solid metal objects – pellets. These weapons are known as BB guns. The muzzle velocity (projectile speed) is classified as low, medium, and high. The severity of injuries to the maxillofacial region is significant, but rarely fatal. The affected structures of the head and face are highly specialized, and their function remains permanently impaired. Treatment of these injuries requires removal of the projectile and wound debridement to reduce post-traumatic scarring. Clinical Case Description We present the clinical case of a 14-year-old boy who sustained an injury while playing with an airgun, inflicted by a friend of the victim. The patient presented for treatment 10 days after the occurrence of injury, and the treatment included projectile extraction, surgical wound debridement, and 7 days of antibiotic therapy. Discussion and Conclusions Injuries caused by airguns in the maxillofacial region are serious traumas. They can affect neural and vascular structures, jawbones, sinuses, salivary glands, the eye, etc. Early treatment is a factor that reduces the risks of complications and sequelae.
Aleksiev et al. (2026) studied this question.