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Review article: Maxillofacial emergencies: Maxillofacial trauma.
Adrian F DeAngelis1, Roland A Barrowman, Richard Harrod
1Maxillofacial Surgery Unit, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Emergency Medicine Australasia : EMA
|October 9, 2014
Summary
Facial skeleton fractures are common in Australia, potentially causing serious complications like airway obstruction and vision loss. This article guides emergency assessment and non-specialist management of facial trauma.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Ophthalmology
Background:
- Facial skeleton fractures are frequent presentations in Australian emergency departments.
- Maxillofacial trauma poses risks including airway compromise, intracranial injury, and vision loss.
- Long-term cosmetic and functional deficits can result from inadequate management.
Purpose of the Study:
- To outline the emergency assessment and triage protocols for facial skeleton fractures.
- To provide guidance on the non-specialist management of orbital and facial trauma.
- To improve outcomes for patients presenting with maxillofacial injuries.
Main Methods:
- Review of current emergency department protocols for facial trauma.
- Analysis of non-specialist management strategies for common facial fractures.
- Focus on initial assessment, airway management, and referral criteria.
Main Results:
- Early recognition and assessment are crucial for preventing complications.
- Airway management is a priority in significant maxillofacial trauma.
- Timely triage ensures appropriate specialist consultation.
Conclusions:
- Effective non-specialist management of facial skeleton fractures can mitigate severe outcomes.
- Standardized emergency protocols enhance patient care for maxillofacial injuries.
- Prompt assessment and triage are key to optimizing functional and cosmetic results.

