Explosive oral cavity injuries make restoring optimal oral function a challenge. An explosion in the oral cavity can cause burns and concomitant smoke inhalation injury to the upper airway.
We present the case of a patient in whom the middle and lower thirds of the face were destroyed when a firecracker exploded in his oral cavity. Gunpowder tattooing caused by the explosion was present on the retropharyngeal space. He had an open fracture of the mandibular symphysis and inhalation burns of the upper airway were suspected. Tracheostomy was performed because we could not rule out inhalation burns of the upper airway. After close observation, his cardiopulmonary function and vital signs were stable, and we prepared him for reconstructive surgery.