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Cited by 107Facial Trauma and Fracture ManagementTrauma and Emergency Care StudiesAirway Management and Intubation Techniques

Management of maxillofacial trauma in emergency: an update of challenges and controversies

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Roychoudhury, Ajoy, Jose, Anson, Nagori, ShakilAhmed, Agarwal, Bhaskar, Bhutia, Ongkila·2016·Journal of Emergencies, Trauma, and Shock
DOI 10.4103/0974-2700.179456PMC PMC4843570
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Abstract

Trauma management has evolved significantly in the past few decades thereby reducing mortality in the golden hour. However, challenges remain, and one such area is maxillofacial injuries in a polytrauma patient. Severe injuries to the maxillofacial region can complicate the early management of a trauma patient owing to the regions proximity to the brain, cervical spine, and airway. The usual techniques of airway breathing and circulation (ABC) management are often modified or supplemented with other methods in case of maxillofacial injuries. Such modifications have their own challenges and pitfalls in an already difficult situation.

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  • Posterior displacement from fractured maxillofacial segments may cause soft tissue collapse and occlude the airway, which may be worsened by the presence of c-spine collar.

    “Posterior displacement from fractured maxillofacial segments may cause soft tissue collapse and occlude the airway, which may be worsened by the presence of c-spine collar.64,65”

    From Airway Management in Trauma (2018) · cites this paper as [65]

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Authors
Roychoudhury, A., Jose, A., Nagori, S., Agarwal, B., & Bhutia, O.
Affiliations
All India Institute of Medical Sciences (IN)
Corresponding author
Roychoudhury, Ajoy
ORCID
Venue
Journal of Emergencies, Trauma, and Shock
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2016
Volume
9
Issue
2
Pages
73
ISSN
0974-2700 (ISSN-L)
DOI
10.4103/0974-2700.179456
PMC
PMC4843570
OpenAlex
W2313521658
Cited by
107
References
0
Citations by year
2026: 7 · 2025: 15 · 2024: 15 · 2023: 20 · 2022: 13 · 2021: 13 · 2020: 3 · 2019: 10 · 2018: 5 · 2017: 5 · 2016: 1
FWCI
1.34
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Journal of Emergencies Trauma and Shock (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
  • Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
Keywords
maxillofacial trauma, polytrauma, golden hour, airway management, ABC approach, cervical spine injury, airway compromise, trauma mortality

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