Sir, it is with great interest that I read a recent article detailing a management approach for injuries caused by air guns.1 It reminded me of a patient I saw during my third dental core training year, who presented with a diabolo-shaped pellet in the superficial fascia below the lower border of their mandible (Fig. 1), with no concomitant symptoms other than tenderness over the point of entry.

Fig. 1
figure 1

Radiograph showing a pellet in a patient's mandible

Full size image

Fortunately, my supervising OMFS registrar was able to assist me in managing this patient.

I would like to thank the authors as, although this type of injury may be uncommon, I am sure their flowchart will assist clinicians with decision-making.