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Open Access 01-12-2015 | Review

Maxillofacial and neck trauma: a damage control approach

Authors: Amir A. Krausz, Michael M. Krausz, Edoardo Picetti

Published in: World Journal of Emergency Surgery | Issue 1/2015

Abstract

Severe maxillofacial and neck trauma exposes patients to life threatening complications such as airway compromise and hemorrhagic shock. These conditions require rapid actions (diagnosis and management) and a strong interplay between surgeons and anesthesiologists. Effective airway management often makes the difference between life and death in severe maxillofacial and neck trauma and takes initial precedence over all other clinical considerations. Damage control strategies focus on physiological and biochemical stabilization prior to the comprehensive anatomical and functional repair of all injuries. Damage control surgery (DCS) can be defined as the rapid initial control of hemorrhage and contamination, temporary wound closure, resuscitation to normal physiology in the intensive care unit (ICU) and subsequent reexploration and definitive repair following restoration of normal physiology. Damage control resuscitation (DCR) consists mainly of hypotensive (permissive hypotension) and hemostatic (minimal use of crystalloid fluids and utilization of blood and blood products) resuscitation. Both strategies should be administered simultaneously in all of these patients.

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Title: Maxillofacial and neck trauma: a damage control approach
Authors: Amir A. Krausz
Michael M. Krausz
Edoardo Picetti
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2015
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-015-0022-9

At a glance: The STEP trials

Springer Medicine

Maxillofacial and neck trauma: a damage control approach

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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