1-Basic principle for the management of maxil0facial injuries.pdf

oral and maxillofacial surgery

1. Basic principle for the management
of maxil0facial injuries
Dr. Naveed ullah zargar
Lecturer . Oral and maxillofacial surgery (SIHE)

2. General consideration, with first seen
Hemorrhage
Shock
Spinal cord injuries
Cardiac arrest
Airway obstruction
General care of the injured patient

3. 1.Preservation of life
2.Maintenance of function
3.Restoration of appearance
Basic principles of treatment of a
severe Maxillofacial injuries

4. ABCs
A-Airway maintenance
B-Bleeding control
C-Conscious restoration, circulation maintenance
.otherwise,
D-death will follow
1.Preservation of life

5. Restlessness
Anxiety
Tachycardia ,tachypnea
Pallor
Rapid breathing
Clinical sign and symptoms of
respiratory distress(obstruction)

6. 1.Inhalation of the blood clot,
vomit,
saliva,
thick mucus
2.Inability to protrude the tongue
3.Occlusion (fractured maxilla)
Causes of respiratory obstructions
related to maxillofacial injuries

7. Treatment for airway maintenance
Non-surgical
Position of the patient
Oropharyngeal toilet
Anterior traction of the tongue
Position of fractured jaw
Surgical
tracheostomy

8. Compression
Major vessels should be clamped
Nasal bleeding should be stopped by u sing ribbon
gauze packing soaked in adrenalin
bleeding control

9. Couse must be deducted
Intra cranial or
shock
Consciousness restoration

10. Abrasion
Contusion
Hematoma
Lacerated(tear)
Incised wound
Penetrating wounds
Crushed wounds
Gunshot wounds
Soft tissue injureius

11. I.Clean the wound
II.Remove the foreign bodies
III.Debridement
IV.Hemostasis
V.Dressing
VI.Prevention of infection
VII.Pain control
VIII.Follow ups
Treatment of soft tissue ijuries

12. Thank you