Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 2 PDF Free Download
Trauma is the leading cause of mortality globally, and in the United States more than 3 million facial injuries occur each year, resulting in a large percentage of hospital admissions. Because more than 50% of patients with maxillofacial trauma have multisystem injuries as well, a thorough and efficient management strategy is crucial to optimize the care of the patient. The goal in the management of the facial trauma patient is to restore function and esthetics while minimizing adverse events. The initial evaluation and management of the patient ensures that the appropriate treatment is rendered, whereas the focus in the postoperative setting is on an expeditious recovery with minimal complications. This chapter outlines some of the important principles in the care of the facial trauma patient in the perioperative setting. The subsequent chapters of this text will explore many of these principles in greater detail. Initial Assessment The creation of the Advanced Trauma Life Support (ATLS) course in 1978 provided a systematic approach to addressing the initial needs of the trauma patient. The principles outlined by ATLS (Box 1-1) should be applied to all trauma patients in the emergent setting, to quickly identify and treat any life-threatening injuries. However, it is rare for the oral and maxillofacial surgeon (OMS) to be the sole primary practitioner evaluating a trauma patient who presents to the hospital. A multidisciplinary approach to the management of the trauma patient has been adopted. In most situations, the trauma patient has been evaluated in the emergency room setting and the OMS is brought in as a consultant. This does not negate the need for a thorough understanding of the principles behind trauma care, as it allows the practitioner to be in sync with the efficient and effective methods of optimizing patient care in the hospital setting. In the case that the patient has been referred to you in the outpatient setting, it is important to ensure that all other systems have been evaluated and other systemic injuries have been addressed. If you are concerned that other injuries have not been thoroughly evaluated, a referral to the emergency room is warranted.