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Maxillofacial trauma treatment protocol.

David B Powers1, Michael J Will, Sidney L Bourgeois

  • 1Department of Oral and Maxillofacial Surgery, Wilford Hall United States Air Force Medical Center, Lackland Air Force Base, 2200 Bergquist Drive, Suite 1, San Antonio, TX 78236-9908, USA. David.Powers@Lackland.af.mil

Oral and Maxillofacial Surgery Clinics of North America
|December 20, 2007
PubMed
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Military surgeons face novel complex maxillofacial injuries from improvised explosive devices (IEDs) in modern warfare. Civilian practitioners must prepare for early surgical intervention and late reconstructive efforts following potential terrorist attacks.

Area of Science:

  • Trauma surgery
  • Maxillofacial surgery
  • Military medicine

Background:

  • Modern warfare and terrorist attacks present unique complex maxillofacial injury patterns.
  • Improvised explosive devices (IEDs) are increasingly utilized due to their portability and low cost.
  • Existing medical literature lacks comprehensive discussion on these specific injury patterns.

Purpose of the Study:

  • To highlight the emerging challenge of complex maxillofacial injuries from IEDs.
  • To inform military and civilian surgeons about the characteristics of these wounds.
  • To prepare for the surgical management of these injuries in future conflicts or attacks.

Main Methods:

  • Review of injury patterns from modern warfare and terrorist incidents.
  • Analysis of the wounding characteristics of IEDs.

Related Experiment Videos

  • Discussion of surgical management strategies for early and late reconstructive phases.

    • Main Results:

    • IEDs cause unique and severe maxillofacial trauma.
    • A significant gap exists in the medical literature regarding these injuries.
    • Early primary surgical intervention and late secondary/tertiary reconstruction are crucial.

    Conclusions:

    • Military surgeons are encountering unprecedented maxillofacial injuries.
    • Civilian medical practitioners must be prepared to manage these complex wounds.
    • Proactive planning for surgical management is essential for effective patient outcomes.