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Life-threatening bleeding following maxillofacial trauma
L Ardekian1, N Samet, Y Shoshani
1Department of Oral and Maxillofacial Surgery, Sheba Medical Center, Tel Hashomer, Israel.
Summary
Severe bleeding from facial trauma is rare but serious. Maxillofacial surgeons can control this by using nasal packing and temporary fracture reduction.
Area of Science:
- Trauma surgery
- Maxillofacial surgery
- Emergency medicine
Background:
- Life-threatening bleeding from facial trauma is uncommon.
- Existing literature lacks specific management protocols for such cases.
Purpose of the Study:
- To review bleeding origins and treatments for facial trauma.
- To establish a management plan for severe bleeding in midface fractures.
- To highlight the maxillofacial surgeon's role in immediate hemorrhage control.
Main Methods:
- Retrospective review of 222 patients with midface fractures treated between 1985-1990.
- Analysis of patients experiencing severe, life-threatening bleeding upon admission.
Main Results:
- Ten out of 222 patients presented with severe, life-threatening bleeding.
- Nasal packing was effective in controlling bleeding in 9 patients.
- Temporary fracture reduction, combined with nasal packing, aided bleeding control in 7 patients.
Conclusions:
- Prompt intervention by maxillofacial surgeons is crucial for managing severe bleeding in facial trauma.
- Nasal packing and temporary fracture reduction are effective immediate measures.
- A structured management plan is needed for these rare but critical cases.