[Management of maxillofacial injuries in an emergency unit: our experience].
Maxillofacial injuries are relatively frequent. These may be complicated by cranioencephalic injuries or large facial wounds. We report our experience with the initial management of these lesions in an emergency unit setting. In 2007, we observed 105 patients with maxillofacial injuries. Maxillofacial injuries were associated with cranio-encephalic injuries in 69 patients (65.7%) and with polytrauma in 31(29.5%), while in 5 cases (4.8%) they were isolated. The main causes of trauma were motorcycle accidents (60%). All patients were treated in accordance with the Advanced Trauma Life Support guidelines and assessed by computed tomography. No mortality was observed after diagnosis in the emergency unit or in the month following the trauma. Seventy-seven patients (73.3%) were admitted and 28 (26.7%) were treated and discharged. Accurate diagnosis and appropriate initial management yield good clinical outcomes with functional restoration and fewer aesthetic complications.
Famà
Fausto
F
UOC di Medicina e Chirurgia d'Accettazione ed Urgenza (MCAU) con Osservazione Breve (OB).
Beccaria
Antonio
A
Malara
Consolato
C
Placanica
Pantaleone
P
Cucinotta
Francesco
F
Caruso
Antonino
A
Estollere
Concetta
C
Versace
Giuseppina
G
Latorre
Nadia
N
Foti
Donatella
D
Falzea
Roberto
R
De Ponte
Francesco
F
Gioffrè-Florio
Maria Antonietta
MA
D000062:Accidents, Occupational; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008446:Maxillofacial Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D009049:Motorcycles; D009104:Multiple Trauma / Q000601:surgery / Q000628:therapy*; D017410:Practice Guidelines as Topic; D014057:Tomography, X-Ray Computed