Facial Trauma: Challenges, Controversies, and Therapeutic Options

Gibson, Alisa; Boswell, Kimberly
March 2011
Trauma Reports;Mar/Apr2011, Vol. 12 Issue 2, p1
Academic Journal
• The initial priority when treating patients with facial trauma is the ABCs (airway, breathing, and circulation), paying particular attention to airway, major bleeding, and associated brain injury. • Emergency physicians should assess lacerations and wounds for active bleeding, depth of penetration, foreign bodies, and transection of nerves or ducts. • CT scans are highly accurate for the diagnosis of fractures and are more beneficial in the setting of multiple facial injuries. • Frontal sinus fractures can be complicated by cerebrospinal fluid leak, thus increasing the risk for infection. • Dental trauma frequently accompanies facial fractures: one study found that 64% of patients with bilateral mandibular condylar fractures had damage to the dentition.


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