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3.13.2 - Maxillofacial and Upper Airway Injuries

from Section 3.13 - Severe Trauma and Multiple Injuries

Published online by Cambridge University Press:  27 July 2023

By
Rajamani Sethuraman
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Maxillofacial injuries are always associated with difficult airway management.

  2. 2. Delay in early airway management can be fatal.

  3. 3. Early tracheostomy in difficult and extensive injuries can be lifesaving.

  4. 4. Surgical management is sometimes delayed until there is resolution of oedema from the injuries.

  5. 5. Beware of associated base of skull fractures.

Keywords

LeFort fracturesfacial–maxillary traumabase of skull injuries
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 398 - 401
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Ardekian, L, Samet, N, Shoshani, Y. Life threatening bleeding following maxillofacial trauma. J Craniomaxillofac Surg 1993;21:336–40.CrossRefGoogle ScholarPubMed
Bajwa, JSB, Kaur, J, Singh, A, et al. Clinical and critical care concerns of craniofacial trauma: a retrospective study in a tertiary care institute. Natl J Maxillofac Surg 2012;3:133–8.CrossRefGoogle Scholar
Le Fort, R. Experimental study of fractures of the upper jaw. Rev Chir Paris 1901;23:208–27 [reprint: Plast Rconstr Surg 1972;50:497–506].Google Scholar
Marentette, LJ, Valentino, J. Traumatic anterior cranial fossa cerebrospinal fluid fistulae and craniofacial considerations. Otolaryn Clin North Am 1991;24:151–63.CrossRefGoogle ScholarPubMed

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