Procedures for initial management of maxillofacial polytrauma and severe maxillofacial trauma

Revista Cubana de Estomatología

Morales Navarro, Denia¹ 

[1]Universidad de Ciencias Médicas de La Habana, Cuba

关键词: traumatology;    maxillofacial;    medical emergencies;    trauma centers.;   

DOI  :  

学科分类：基础医学

来源: SciELO

【 摘 要 】

Introduction: facial fractures are a common cause of treatment in emergency services. Objective:Describe procedures used and deaths occurring in the initialmanagement of maxillofacial polytrauma and severe maxillofacial trauma at theemergency service. Methods: a descriptive study was conducted of procedures used and deaths occurring amongmaxillofacial polytrauma and severe maxillofacial trauma patients cared forat the emergency service of General Calixto García University Hospital.The variables considered were both quantitative and qualitative. A data collectionform was developed and the information was stored in a database. Data were expressedin whole numbers, percentages and statistical tables. Ethical research principleswere abided by.Results: 100 % of the patients underwent airway evaluation, and causes of exsanguinationwere searched for. Primary assessment: 70.3 % required some airway procedureand more orotracheal intubation was used (10.8 %); for circulation, more peripheralvenous cannulation was performed, as well as volume administration and bloodsampling for hematological testing (17.6 %). Secondary assessment: 16.2 % requiredorotracheal intubation; for circulation, 83.8 % required some procedure. 33.8% needed suturing; CAT scanning was more commonly used (41.9 %). 12.2 % of thepatients died; traffic accidents accounted for 9.5 %.Conclusions: all patients underwent airway evaluation, and causes of exsanguinationwere searched for. The order in which procedures were used was variable, notphased according to the growing complexity of the procedures, and not all procedureoptions were used. Most deceased patients had been involved in traffic accidents.

【 授权许可】

CC BY-NC-SA