Review Article
Volume 9 Issue 1 - 2020
An Overview of the Diagnosis and Management of Common Maxillofacial Injuries in the Emergency Setting
Abdullah S Al-Gorashi1*, Azhar Haeider Aljalooud2, Abdulrahman Mohammed Sindi3, Lojain Khalid Gurban3, Musab Ali Alzahrani3, Raghad Fahad Jayar4, Najed Obaid Alharbi3, Abdulkarim Ghassan Sulaihim5, Ahmad Waleed Iskander3, Abdulrahman Ghazi Bakheet3, Almuhanad Abdulrahman Alghamdi3 and Maryam Abduljabbar Saleh6
1Department of Oral And Maxillofacial Surgery, King Fahad General Hospital, Jeddah, Saudi Arabia
2College of Dentistry, Medical University of Warsaw, Warsaw, Poland
3College of Dentistry, Batterjee Medical College, Jeddah, Saudi Arabia
4College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
5Department of Oral And Maxillofacial Surgery, King Saud Medical City, Riyadh, Saudi Arabia
6College of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
*Corresponding Author: Abdullah S Al-Gorashi, Department of Oral And Maxillofacial Surgery, King Fahad General Hospital, Jeddah, Saudi Arabia.
Received: December 10, 2019; Published: December 31, 2019




Abstract

The maxillofacial region occupies a prominent position on the body, where it is vulnerable to injury. The injuries are associated with high morbidity including functional and cosmetic disfigurement. The close association of concomitant body injuries in the maxillofacial fracture is well documented due to the region’s proximity to vital organs including the brain, spinal cord, and eyes. For that, we provide an overview of the management of common maxillofacial injuries in the emergency setting. We performed an extensive literature search of the Medline, Cochrane, and EMBASE databases on 25 October 2019 using the medical subject headings (MeSH) terms "Maxillofacial Injuries"[Mesh] AND " Emergency Service, Hospital" [Mesh]. Papers discussing diagnosis and management of common maxillofacial injuries in the emergency setting were screened for relevant information. There were no limits on date, language, age of participants or publication type. Management of maxillofacial injury can be categorized broadly into two groups; emergency treatment and definitive treatment. Great attention should be paid to airway patency since its obstruction is the main cause of death among patients with severe maxillofacial injuries. The next step would be controlling any present hemorrhage, large-bore intravenous lines establishment and a crystalloid solution or blood may be given for resuscitation. Finally, evaluation and palpation of the superior and inferior orbital rims, nose, maxilla, zygomatic arch, mandible, and both alveolar ridges should be done. Further examination, investigation or management are mainly based on the initial assessment and the patient’s stabilization.

Keywords: Maxillofacial; Fractures; Management; Emergency

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Citation: Abdullah S Al-Gorashi., et al. “An Overview of the Diagnosis and Management of Common Maxillofacial Injuries in the Emergency Setting”. EC Dental Science 19.1 (2020): 01-12.

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