Head and neck facial
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Soft tissue wounding arises from myriad etiologies, from knife or gunshot wounds to animal injuries, and from assaults to motor vehicle accidents. Rapid recognition, work-up, and treatment reduce the risk of complications and associated morbidity and mortality. The implementation of the shoulder harness seat belt in motor vehicles has resulted in a much lower incidence of frontal sinus fractures. The clinical outcome for an individual patient after treatment for injuries to the face, head, and neck will depend upon a number of factors. Important information to retrieve includes the urgency of the patient's status, mechanism of injury, injury list, medical and demographic information, and, most important, airway status.
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About The Facial Nerve
Although temporal bone fractures are relatively uncommon, they present many complex diagnostic and therapeutic challenges. Surgical management has evolved over the last two decades, based on the advent of advanced radiographic studies and endoscopic techniques. Most often, treatment of temporal bone trauma can be delayed, after life-threatening injuries are treated. In facial trauma management, emergent consideration must be given to secure the airway and obtain hemostasis before initiating definitive treatment of any fracture. Mandible fractures are among the most common skeletal injuries in man due to blunt or penetrating trauma. Foundational is the knowledge of mechanisms of injury, tissue damage, and implications for surgical repair, based on the etiology of the trauma. Fractures of the midfacial bones are most commonly due to blunt trauma from falls, altercations, and motor vehicle accidents.
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Head and neck anatomy
Five percent of patients with significant head trauma will also sustain temporal bone fractures. Surgical goals include functional and cosmetic restoration, while preserving tissue and preventing infection. Although temporal bone fractures are relatively uncommon, they present many complex diagnostic and therapeutic challenges. Otolaryngologists have the airway, endoscopy, and neck exploration skills necessary to take care of the most critically injured patients. While each laryngeal injury is unique, an organized and appropriate management algorithm for the various types of laryngeal trauma results in increased patient survival as well as improved longterm functional outcomes.
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