Maxillofacial trauma in the emergency department: A review

Tuckett, J.W., Lynham, A., Lee, G.A., Perry, M. and Harrington, U. (2014) Maxillofacial trauma in the emergency department: A review. Surgeon, 12 2: 106-114. doi:10.1016/j.surge.2013.07.001

Author Tuckett, J.W.
Lynham, A.
Lee, G.A.
Perry, M.
Harrington, U.
Title Maxillofacial trauma in the emergency department: A review
Journal name Surgeon   Check publisher's open access policy
ISSN 1479-666X
Publication date 2014-01-01
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.surge.2013.07.001
Open Access Status Not yet assessed
Volume 12
Issue 2
Start page 106
End page 114
Total pages 9
Place of publication Oxford, England, U.K.
Publisher Elsevier Ltd
Language eng
Subject 2746 Surgery
Abstract Objectives: In 1978 the Advanced Trauma Life Support guidelines were first implemented and are viewed by many as the gold standard of care in the emergency setting.It may not be immediately obvious where assessment and management of maxillofacial injuries fits within these trauma guidelines. This article aims to provide a concise, contemporary guide for the treatment of maxillofacial trauma in the emergency setting. Methods: An electronic database search was conducted in PubMed and Science Direct on articles from 1970 to the present day. The key search terms were Maxillofacial, Trauma, ATLS, Advanced Trauma Life Support, EMST, Early Management of Severe Trauma, Airway, Eye, Ophthalmic and Management. The findings were compiled into a review article. The article was then reviewed by experts in the fields of Maxillofacial Surgery and Ophthalmology to ensure content and contextual accuracy. Results: Physicians are becoming increasingly exposed to major maxillofacial injuries. Resuscitative measures can be complex and require prompt decisions especially in gaining a secure airway. A proposed treatment algorithm for maxillofacial trauma patients has been devised by the authors. Conclusions: It is imperative that sight preserving assessment and interventions are not forgotten in the emergency management of maxillofacial trauma. We propose an algorithm for the management of maxillofacial trauma, and recommend the use of CT as a powerful adjunct to clinical examination in patients with maxillofacial trauma.
Keyword Airway
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes published online 19 August 2013.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
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