scholarly journals Intubation concerns in maxillofacial trauma patients

2020 ◽  
Author(s):  
Kamran Khan ◽  
Jawaria Bibi ◽  
Muhammad Umar Qayyum
Keyword(s):  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Trauma Patients ◽  
Nasal Intubation ◽  
Trauma Centers ◽  
Dental Hospital ◽  
Low Rate

Introduction: In maxillofacial trauma the preferred intubation method for general anesthesia is nasotracheal intubation in most of the trauma centers. We conducted a retrospective study to review the utility of this method of intubation in maxillofacial trauma patients. We aimed to review the intra-operative and postoperative concerns and complications for nasotracheal intubation and effectiveness of this method of intubation in maxillofacial trauma patient. Methodology: This study included 56 patients of maxillofacial trauma, who were treated in our centre of Oral and Maxillofacial Surgery at Islamic International Dental Hospital, Islamabad in the period of two years, 1st January 2016 to 31st December 2017. Results: The study showed that nasal intubation is relatively more effective in isolated mandibular trauma patients. But there are difficulties regarding intubation in maxillary fractures and pan-facial trauma patients. Conclusion: Although nasotracheal method of intubation is difficult to attain in some cases, but still it is an effective method of intubation for majority of the maxillofacial trauma cases with very low rate of complications. Received: 30 Sep 2018Reviewed: 16 Nov 2018Accepted: 17 Nov 2018 Citation: Khan K, Bibi J, Qayyum MU. Intubation concerns in maxillofacial trauma patients Anaesth Pain & Intensive Care 2018;22 Suppl 1:S109-S112

“AN ANALYSIS OF OPHTHALMIC INJURIES IN PATIENTS WITH MAXILLOFACIAL TRAUMA”

2021 ◽  
pp. 81-83
Author(s):  
Sharmila. S ◽  
Abhilash Balakrishnan ◽  
Saji Nair .A ◽  
Ajith Kumar.K
Keyword(s):  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Ocular Injury ◽  
Age Group ◽  
Facial Fractures ◽  
Periorbital Oedema ◽  
Maxillofacial Fractures ◽  
Ocular Injuries

PURPOSE OFTHE STUDY: To estimate the proportion and types of ophthalmic injuries in patients with maxillofacial fractures PATIENTS AND METHODS: All patients with maxillofacial trauma, who came to the Department of Oral and Maxillofacial surgery Government Dental college Thiruvananthapuram from November 2020 to June 2021were included in this study. The information and data collected included age, sex, mechanism of injury, type of maxillofacial fracture and type of ophthalmic injury. RESULTS: Ocular injury was sustained by 209 patients out of which 180 (86.1%) were males and 29(13.9%)were females. The largest age group of patients associated with ophthalmic injuries were 30-39 years. The etiology of facial fractures or ocular injuries showed that road trafc accidents more frequently resulted in ocular injuries 66.5% followed by assault 18.7% and self fall 14.8%. Ophthalmic injuries occurred mostly in association with orbital fractures 33.5% followed by Zygomatico maxillary complex fracture 26.8%and Maxillary sinus fractures 24.4%. Periorbital oedema was the most common ophthalmic injury accounting for 46.4%of cases followed by Periorbital ecchymosis 35.4% and Subconjuntival haemorrhage 17.2%. CONCLUSION: Mid facial trauma commonly causes ophthalmic injuries of varying degrees. Prompt ophthalmic examination of all patients with mid facial trauma is mandatory to prevent any blinding complications

scholarly journals Modified Retrograde Nasal Intubation: A New Airway Technique and Devices

2021 ◽  
Vol 68 (2) ◽  
pp. 107-113
Author(s):  
Vernon H. Vivian ◽  
Dip Anaes ◽  
Tyson L. Pardon ◽  
Andre A. J. Van Zundert
Keyword(s):  
Clinical Practice ◽  
Laryngeal Mask Airway ◽  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Oral Route ◽  
Oral And Maxillofacial Surgery ◽  
Nasal Intubation ◽  
Novel Technique ◽  
Materials Used ◽  
Airway Devices

Nasotracheal intubation remains an underused but invaluable technique for securely managing the airway during oral and maxillofacial surgery. In this article, we present a modified clinical technique that allows for the potential introduction into clinical practice of 2 new airway devices: a nasal laryngeal mask airway and an interchangeable oral/nasal endotracheal tube. We hypothesize that with the use of proper techniques, these devices can add new and safer alternatives for securing an airway by the nasal route. The advantage of this novel technique is that the airway is secured by the oral route prior to performing a modified retrograde nasal intubation, eliminating the danger of profuse epistaxis precipitating a “cannot intubate, cannot ventilate” scenario. In addition, the design and materials used in the components of the devices may minimize trauma. The authors aim to inform clinicians about the indications, physical characteristics, and insertion/removal techniques related to these new devices.

scholarly journals 631 Designing an Oral and Maxillofacial Trauma Assessment Proforma for Dental Core Trainees in Northern Ireland

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S M Harkness ◽  
A Cullen ◽  
D McAuley
Keyword(s):  
Northern Ireland ◽  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Trauma Patients ◽  
Trauma Assessment ◽  
Limited Experience ◽  
Comprehensive Examination ◽  
Systematic Structure

Abstract Aim The dental core training (DCT) scheme is an optional postgraduate training pathway for dental graduates who have completed their foundation training and wish to undergo further specialist training. The majority of posts available in Northern Ireland (NI) are within oral and maxillofacial surgery (OMFS) units and include on-call commitment. Dental core trainees (DCTs) are expected to examine and assess OMFS trauma patients and often have limited experience of this prior to post commencement. This project outlines the development of an OMFS trauma assessment proforma designed for DCTs working in NI. Method An initial OMFS trauma proforma was designed alongside senior staff. This was introduced to 6 DCTs and 2 trust SHOs within a tertiary OMFS unit. 34 proformas were recorded within month 1, following which a feedback survey was completed by the 8 trainees. A revised proforma was redistributed and 33 recorded over month 2, followed by a repeat feedback survey. Results The revised proforma was found to be successful amongst trainees within the unit to act as an aid memoir and provide systematic structure to trauma examination. 100% of trainees recorded the revised proforma as useful. As a result, the proforma was introduced as part of the national induction programme for new DCTs commencing training posts in NI. Conclusions Progressing from general practice dentistry to the role of an OMFS DCT can be a challenging transition for many trainees. The proforma aids to guide junior clinicians in how to structure and record oral and maxillofacial trauma whilst ensuring thorough and comprehensive examination.

Pattern of Mandible fracture reported in a single institute: A retrospective analysis of 1230 cases to determine causes of facial trauma and preventive strategies in Lahore Population

2021 ◽  
Vol 11 (1) ◽  
pp. 35-39
Author(s):  
Kirn Zulfiqar ◽  
Faiz Rasul Awan
Keyword(s):  
Road Traffic ◽  
Maxillofacial Surgery ◽  
Secondary Data ◽  
Ethical Review ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Anatomical Site ◽  
Maxillofacial Fractures ◽  
Dental Hospital

Background: Maxillofacial fractures are the most commonly reported injuries in developed as well as developing countries, among all facial bones; mandible is most commonly fractured. The pattern of mandibular bone fracture has changed drastically over the past two decades due to increase occurrence of high velocity impact. The objective of this study was to determine the pattern and causes of mandibular fractures that have reported in the Department of Surgery at Punjab Dental Hospital Lahore. Methods: Ethical Review Committee of de’Montmorency College of Dentistry (DCD), Lahore, granted the Ethical approval for this retrospective study. Data was taken from the Department of Oral and Maxillofacial Surgery of de’Montmorency College of Dentistry/ Punjab Dental Hospital (DCD/PDH) by using secondary data of indoor register from January 2017 to December 2020. Record which met our inclusion criteria was included in this study and record having incomplete data was excluded. A total of 1230 cases were entered in SPSS version 21 to determine descriptive statistic of the data. Percentages and frequencies of variables like gender, site of fracture and causes of fracture were calculated.   Results: Our study included 1230 patients out of which 873 were males and 357 were females. The most affected age group was the fourth decade of life (38.1%) and the major etiological factor was road traffic accident (RTA) which led to fractures in 1067 patients (86.7%). Para-symphysis and symphysis was the most commonly affected area comprising of 36.2% of all fractures. The second most common sit was condyle (23.9%). Least commonly fractured site was coronoid process of the mandible. Conclusion: Cause of majority of mandible fractures is RTA and most commonly affected anatomical site were Para-symphysis and Symphysis.

Patterns of Pediatric Facial Fractures

2021 ◽  
pp. 194338752199173
Author(s):  
Kevin Hong ◽  
James Jeong ◽  
Yehudah N. Susson ◽  
Shelly Abramowicz
Keyword(s):  
Motor Vehicle ◽  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Inclusion Criteria ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Peak Incidence ◽  
Maxillofacial Fractures

Objective: The aim of this study was to assess patterns of maxillofacial trauma in the pediatric population in Atlanta. This information is important to help guide management and allocate resources for treatment of maxillofacial injuries at Children’s Healthcare of Atlanta (CHOA). Methods: This study was a retrospective chart review of children who presented from 2006 to 2015. Inclusion criteria were: (1) age 18 years old or younger, (2) presentation to emergency department, (3) diagnosis of maxillofacial fractures, and (4) evaluation by Oral and Maxillofacial Surgery, Otolaryngology, or Plastic Surgery services. Medical records were reviewed to record demographic, mechanism of injury, fracture location, and yearly incidence of injury. Descriptive statistics were computed to summarize findings and overall trends. Results: During the study period, 39,833 patients were identified. Of them, 1995 met the inclusion criteria. The majority were male (n = 1359, 68%) with an average age of 9.4 years old (range of 1 month to 18 years old). Mechanisms of injury were motor vehicle collisions (MVC) (n = 597, 29.9%), fall (n = 565, 28.3%), sports injury (n = 317, 15.9%), pedestrian struck (n = 215, 10.8%), assault/abuse (n = 204, 10.2%), other (n = 81, 4.1%), or gunshot wound (n = 16, 0.8%). Fracture sites were mandible (n = 519, 26%), complex (n = 479, 24%), nasal (n = 419, 21%), dentoalveolar (n = 279, 14%), orbital (n = 259, 13%), and maxilla (n = 40, 2%). Males had a higher incidence of assault than females (n = 185, 91% of assaults). The incidence of maxillofacial trauma increased with age with a peak incidence in 13 to 16-year-olds (n = 566, 28.3%). During the years examined, there was an upward trend in MVCs as the etiology with a peak incidence of facial fractures due to MVCs occurring in 2015. All other mechanisms remained constant during this time period. Conclusions: There was an increase in pediatric facial fractures secondary to motor vehicle collisions from 2007 to 2015 despite improvements in regulations, traffic safety, and technology.

scholarly journals Olfactory Dysfunction After Oral and Maxillofacial Surgery

2021 ◽  
Author(s):  
Yaxi Wang ◽  
Hua Li ◽  
Xuanping Huang ◽  
Nuo Zhou
Keyword(s):  
General Anesthesia ◽  
Nasal Septum ◽  
Rare Complication ◽  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Olfactory Dysfunction ◽  
Oral And Maxillofacial Surgery ◽  
General Anesthetic ◽  
Anesthetic Drugs ◽  
Nasal Septum Deviation

Abstract Background: Although anesthesia can contribute to olfactory dysfunction, it is a rare complication after oral and maxillofacial surgery by general anesthesia.Cases presentation: In this study, we introduced 3 cases of patient suffering from anosmia (complete loss of smell), after oral and maxillofacial surgery by general anesthesia. We also investigated possible etiologies of anosmia. Conclusions: There are some evidences that anosmia is caused by nasotracheal intubation, which may cause OM injury and/or swing of the nasal septum in patients with nasal septum deviation. Olfactory dysfunction via general anesthetic drugs, however, may have a different etiology.

Maxillofacial surgery

2020 ◽  
pp. 487-525
Keyword(s):  
Head And Neck ◽  
Orthognathic Surgery ◽  
Life Support ◽  
Maxillofacial Surgery ◽  
Neck Surgery ◽  
Dental Students ◽  
Facial Trauma ◽  
Advanced Trauma Life Support ◽  
Oral And Maxillofacial Surgery ◽  
Post Graduate

Oral and maxillofacial surgery is largely a post-graduate subject. This chapter begins with a section on advanced trauma life support and goes on to include details of the diagnosis and management of facial trauma, orthognathic surgery, as well as head and neck surgery and reconstruction. Only basic aspects of this specialty have been included here as advanced techniques are beyond the scope of this chapter. However, this chapter provides enough information so as to ensure success for final year dental students but it can also be of use to those working in oral and maxillofacial units.

On the ward

2018 ◽  
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Head And Neck ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Trauma Patients ◽  
Head And Neck Oncology ◽  
Oncology Patients ◽  
Flap Monitoring

This chapter discusses oral and maxillofacial surgery on the ward, including Trauma patients, Dento-alveolar patients, Head and neck oncology patients, Flap monitoring, The tracheostomy patient, and Orthognathic patients

scholarly journals Anesthetic Complication during Maxillofacial Trauma Surgery: A Case Report of Intraoperative Tension Pneumothorax

2016 ◽  
Vol 9 (3) ◽  
pp. 251-254
Author(s):  
AlHaitham Al Shetawi ◽  
Leonard Golden ◽  
Michael Turner
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Maxillofacial Surgery ◽  
Trauma Surgery ◽  
Tension Pneumothorax ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Circulatory Collapse ◽  
Life Threatening ◽  
Chest Decompression

Tension pneumothorax is a life-threatening emergency that requires a high index of suspension and immediate intervention to prevent circulatory collapse and death. Only five cases of pneumothorax were described in the Oral and Maxillofacial Surgery literature. All cases were postoperative complications associated with orthognathic surgery. We report a case of intraoperative tension pneumothorax during a routine facial trauma surgery requiring emergency chest decompression. The possible causes, classification, and reported cases will be presented.

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