Occasionally, people shooting themselves in the mouth tilt their heads too far back- ward before firing. This results in their shooting off their faces and sometimes the frontal lobes. In such instances, death may not be immediate. Some individuals survive weeks with such wounds. One individual who shot off his face survived a number of months in a vegetative state only to die from meningitis due to an intracranial abscess that formed about a tooth driven into the occipital lobe of the brain.

Fig.1 Intraoral shotgun wound.

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