Basic Medical Emergency Treatment for Maxillofacial Injuries
Introduction: Maxillofacial trauma presents unique challenges due to the complex anatomy of the face, encompassing vital structures. Beyond physical injuries, these cases significantly impact a patient's appearance and function, necessitating a multidisciplinary approach. Challenges: Maxill...
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Albanian Society for Trauma and Emergency Surgery
2025-01-01
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Series: | Albanian Journal of Trauma and Emergency Surgery |
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Online Access: | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/435 |
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author | Ilirian Lenjani Fatime Lenjani Mentor Mustafa Agron Dogjani Basri Lenjani |
author_facet | Ilirian Lenjani Fatime Lenjani Mentor Mustafa Agron Dogjani Basri Lenjani |
author_sort | Ilirian Lenjani |
collection | DOAJ |
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Introduction: Maxillofacial trauma presents unique challenges due to the complex anatomy of the face, encompassing vital structures. Beyond physical injuries, these cases significantly impact a patient's appearance and function, necessitating a multidisciplinary approach.
Challenges: Maxillofacial trauma often co-occurs with other injuries, particularly head, chest, and extremity trauma. This increases complexity, with head injuries observed in 7.6-8.9% of facial fracture cases, frequently associated with lower Glasgow Coma Scores. Cervical spine injuries and airway obstruction are significant concerns.
Management: While trauma management has significantly improved mortality rates, maxillofacial injuries in polytrauma patients remain a challenge. Their proximity to the brain, spine, and airway necessitates modifications to standard ABC assessments. These modifications often incorporate DRSABCDE, a comprehensive evaluation that includes airway clearance with C-spine control, breathing, ventilation, oxygenation, circulation, disability-neurologic status, exposure-environment, and body temperature. Each component of DRSABCDE is crucial in the initial management of maxillofacial trauma.
Conclusion: Continuous education and training in triage, communication, and advanced life support (e.g., BLS-AED, ACLS, PHTLS, BTLS, ATLS) are crucial and empowering for healthcare professionals managing maxillofacial trauma in polytrauma patients. This ongoing learning equips them with the necessary skills and knowledge to handle these complex cases effectively.
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format | Article |
id | doaj-art-be57eb93255e493892c5e293809bac66 |
institution | Kabale University |
issn | 2521-8778 2616-4922 |
language | English |
publishDate | 2025-01-01 |
publisher | Albanian Society for Trauma and Emergency Surgery |
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series | Albanian Journal of Trauma and Emergency Surgery |
spelling | doaj-art-be57eb93255e493892c5e293809bac662025-01-19T14:24:39ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.435Basic Medical Emergency Treatment for Maxillofacial InjuriesIlirian Lenjani0Fatime Lenjani1Mentor Mustafa2Agron Dogjani3Basri Lenjani4Emergency Clinic, University Clinical Centre of Pristina, KosovoAlma Mater Europaea Campus College “Rezonanca” Pristina, KosovoAlma Mater Europaea Campus College “Rezonanca” Pristina, KosovoUniversity Hospital of Trauma, Tirana, AlbaniaAlma Mater Europaea Campus College “Rezonanca” Pristina, Kosovo Introduction: Maxillofacial trauma presents unique challenges due to the complex anatomy of the face, encompassing vital structures. Beyond physical injuries, these cases significantly impact a patient's appearance and function, necessitating a multidisciplinary approach. Challenges: Maxillofacial trauma often co-occurs with other injuries, particularly head, chest, and extremity trauma. This increases complexity, with head injuries observed in 7.6-8.9% of facial fracture cases, frequently associated with lower Glasgow Coma Scores. Cervical spine injuries and airway obstruction are significant concerns. Management: While trauma management has significantly improved mortality rates, maxillofacial injuries in polytrauma patients remain a challenge. Their proximity to the brain, spine, and airway necessitates modifications to standard ABC assessments. These modifications often incorporate DRSABCDE, a comprehensive evaluation that includes airway clearance with C-spine control, breathing, ventilation, oxygenation, circulation, disability-neurologic status, exposure-environment, and body temperature. Each component of DRSABCDE is crucial in the initial management of maxillofacial trauma. Conclusion: Continuous education and training in triage, communication, and advanced life support (e.g., BLS-AED, ACLS, PHTLS, BTLS, ATLS) are crucial and empowering for healthcare professionals managing maxillofacial trauma in polytrauma patients. This ongoing learning equips them with the necessary skills and knowledge to handle these complex cases effectively. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/435Maxillofacial injuriesairway managementpolytraumafacial fracturesemergency care |
spellingShingle | Ilirian Lenjani Fatime Lenjani Mentor Mustafa Agron Dogjani Basri Lenjani Basic Medical Emergency Treatment for Maxillofacial Injuries Albanian Journal of Trauma and Emergency Surgery Maxillofacial injuries airway management polytrauma facial fractures emergency care |
title | Basic Medical Emergency Treatment for Maxillofacial Injuries |
title_full | Basic Medical Emergency Treatment for Maxillofacial Injuries |
title_fullStr | Basic Medical Emergency Treatment for Maxillofacial Injuries |
title_full_unstemmed | Basic Medical Emergency Treatment for Maxillofacial Injuries |
title_short | Basic Medical Emergency Treatment for Maxillofacial Injuries |
title_sort | basic medical emergency treatment for maxillofacial injuries |
topic | Maxillofacial injuries airway management polytrauma facial fractures emergency care |
url | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/435 |
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