Traumatic tension pneumocephalus after blunt head trauma and positive pressure ventilation. Can one size fit all. Cricothyrotomy on the other hand, having an airway apparatus that is adjacent to a surgical field could possibly cause wound contamination and cut down access while definitive repair of maxillofacial trauma is carried out by an extra oral route. It varies from the simple tactic of patient positioning to complex surgical procedures depend on the degree of injury and propensity of anticipated airway obstruction. Eur J Cardiothorac Surg. Facial fractures — Associated injuries and complications. A potentially fatal injury.
Received Nov 29; Accepted Jan
Management of maxillofacial trauma in emergency: An update of challenges and controversies
A hazard of naso-tracheal intubation. Its effect on neurologic injury. However, its use in patients with altered anatomy as in complex maxillofacial trauma may cause injury to the trachea, larynx, and esophagus when not properly placed. In high-velocity trauma which involves the mandible, swallowing mechanism is altered due to pain and ineffective protective reflex modulation, results in difficulty to keep the airway clear. When noninvasive techniques for securing airway fail, the surgical airway is the only available option. Cervical spine injury in patients with facial skeletal trauma. In addition to an overall review of maxillofacial trauma pathophysiology, associated injuries, and physical examination, this review will also discuss relevant imaging, treatment, and disposition plans.