Management of maxillofacial trauma in emergency: An update of challenges and controversies

Anson Jose, Shakil Ahmed Nagori, Bhaskar Agarwal, Ongkila Bhutia, Ajoy Roychoudhury, Anson Jose, Shakil Ahmed Nagori, Bhaskar Agarwal, Ongkila Bhutia, Ajoy Roychoudhury

Abstract

Trauma management has evolved significantly in the past few decades thereby reducing mortality in the golden hour. However, challenges remain, and one such area is maxillofacial injuries in a polytrauma patient. Severe injuries to the maxillofacial region can complicate the early management of a trauma patient owing to the regions proximity to the brain, cervical spine, and airway. The usual techniques of airway breathing and circulation (ABC) management are often modified or supplemented with other methods in case of maxillofacial injuries. Such modifications have their own challenges and pitfalls in an already difficult situation.

Keywords: Airway management; bleeding; emergency care; facial injury.

Figures

Figure 1
Figure 1
Posteriorly displaced bilateral parasymphyseal mandibular fracture can complicate the airway
Figure 2
Figure 2
Airway in severely communited midface fracture can be challenging to manage
Figure 3
Figure 3
Management of airway in maxillofacial trauma
Figure 4
Figure 4
Management of bleeding in maxillofacial trauma
Figure 5
Figure 5
Anterior and posterior nasal packing is usually the first choice for severe maxillofacial bleeding

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