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Chapter 18 - Craniofacial Trauma

Injury Patterns and Management

Published online by Cambridge University Press:  28 April 2020

By
Kathrin J. Whitehouse  and
Paul McArdle
Edited by
Peter C. Whitfield ,
Jessie Welbourne ,
Elfyn Thomas ,
Fiona Summers ,
Maggie Whyte  and
Peter J. Hutchinson
Peter C. Whitfield
Affiliation:
Derriford Hospital, Plymouth
Jessie Welbourne
Affiliation:
University Hospitals, Plymouth
Elfyn Thomas
Affiliation:
Derriford Hospital, Plymouth
Fiona Summers
Affiliation:
Aberdeen Royal Infirmary
Maggie Whyte
Affiliation:
Aberdeen Royal Infirmary
Peter J. Hutchinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
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Summary

The complexity of management of the patient with a severe craniofacial injury demands multidisciplinary care to deal with neurosurgical, maxillofacial, otolaryngological and ophthalmic problems. These teams should be available in all Major Trauma Centres. A dedicated craniofacial service with multiprofessional teamworking ensures that the long-term issues of neurorehabilitation, psychiatric support and support of the family are met as well as the early challenges of airway threat, resuscitation, head injury and fracture management. Inadequate investigation, planning and management results in missed or inadequately treated injuries; and the increased risk of late complications including poor functional and aesthetic results as well as the need for potentially sub-optimal rescue revision procedures.

Type
Chapter
Information
Traumatic Brain Injury
A Multidisciplinary Approach
 , pp. 222 - 237
Publisher: Cambridge University Press
Print publication year: 2020

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References

American College of Surgeons. Advanced trauma life support manual. Chicago: American College of Surgeons Committee on Trauma; 2004.Google Scholar
Hernandez Altemir, F. The submental route for endotracheal intubation: a new technique. J Maxillofac Surg.1986;14(1):64–65.Google Scholar
Williams, J, Jehle, D, Cottington, E, Shufflebarger, C. Head, facial, and clavicular trauma as a predictor of cervical-spine injury. Ann Emerg Med 1992;21(6):719–22.Google Scholar
Hills, MW, Deane, SA. Head injury and facial injury: is there an increased risk of cervical spine injury? J Trauma 1993;34(4):549–53.Google Scholar
Vella, MA. Acute management of traumatic brain injury. Surg Clin N Am 2017;95(5):1015–30.Google Scholar
Spaite, DW, Hu, C, Bobrow, BJ, et al. Mortality and prehospital blood pressure in patients with major traumatic brain injury: implications for the hypotension threshold. JAMA Surg 2017;152(4):360–8.Google Scholar
Komiyama, M, Nishikawa, M, Kan, M, Shigemoto, T, Kaji, A. Endovascular treatment of intractable oronasal bleeding associated with severe craniofacial injury. J Trauma 1998;44(2):330–4.Google Scholar
Le Fort, RL. Etude expérimentale sur les fractures de la mâchoire supérieure. Rev Chir Paris 1901;23:208–27.Google Scholar
Wassmund, M. Frakturen und Luxationen des Gesichtsschädels. Meusser; 1927.Google Scholar
Manson, PN. Maxillofacial injuries. Emerg Med Clin North Am 1984;2(4):168–78.Google Scholar
Manson, PN, Clarke, N, Robertson, B, et al. Subunit principles in midface fractures: the importance of sagittal buttresses, soft tissue reductions and sequencing treatment of segmental fractures. Plastic Reconstruc Surg 1999;103(4):1287–307.Google Scholar
Martin, RC, Spain, DA, Richardson, JD. Do facial fractures protect the brain or are they a marker for severe head injury? Am Surg 2002;68(5):477–81.Google ScholarPubMed
al-Qurainy, IA, Stassen, LF, Dutton, GN, Moos, KF, el-Attar, A. The characteristics of midfacial fractures and the association with ocular injury: a prospective study. Br J Oral Maxillofac Surg 1991;29(5):291–301.Google Scholar
al-Qurainy, IA, Titterington, DM, Dutton, GN, Stassen, LF, Moos, KF, el-Attar, A. Midfacial fractures and the eye: the development of a system for detecting patients at risk of eye injury. Br J Oral Maxillofac Surg 1991;29(6):363–7.Google Scholar
Lee, HJ, Jilani, M, Frohman, L, Baker, S. CT of orbital trauma. Emerg Radiol 2004;10(4):168–72.CrossRefGoogle ScholarPubMed
McMahon, JD, Koppel, DA, Devlin, M, Moos, KF. Maxillary and panfacial fractures. In: Wardbooth, P, Epply, BL, Schmelzeizen, R, eds. Maxillofacial trauma and esthetic reconstruction. Churchill Livingstone; 2003.Google Scholar
Wallis, A, Donald, PJ. Frontal sinus fractures: a review of 72 cases. Laryngoscope 1988;98:593–8.CrossRefGoogle ScholarPubMed
Gruss, JS, Pollock, RA, Phillips, JH, Antonyshyn, O. Combined injuries to the cranium and face. Br J Plastic Surg 1999;42:385–98.Google Scholar
Wilson, BC, Davidson, B, Corey, JP, Haydon, RC 3rd. Comparison of complications following frontal sinus fractures managed with or without obliteration over ten years. Laryngoscope 1998;98(5):516–20.Google Scholar
Bell, RB, Dierks, EJ, Brar, P, Potter, JK, Potter, BE. A protocol for the management of frontal sinus fractures emphasising sinus preservation. J Oral Maxillofac Surg 2007;65(5):825–39.Google Scholar
Friedman, JA, Ebersold, MJ, Quast, LM. Post traumatic cerebrospinal fluid leakage. World J Surg 2001;25(8):1062–6.Google Scholar
Eljamel, MS, Foy, PM. Acute traumatic CSF fistulae: the risk of intracranial infection. Br J Neurosurg 1990;4(6):479–83.Google Scholar
Donald, PJ, Bernstein, L. Compound frontal sinus injuries with intracranial penetration. Laryngoscope 1978;88:225–32.Google Scholar
Warnecke, A, Averbeck, T, Wurster, U, et al. Diagnostic relevance of beta2-transferrin for the detection of cerebrospinal fluid fistulas. Arch Otolaryngol Head Neck Surg 2004;130:1178–84.Google Scholar
Phang, SY, Whitehouse, KJ, Lee, L, Khalil, H, McArdle, P, Whitfield, PC. Management of CSF leak in base of skull fractures in adults. Br J Neurosurg 2016;30(6):596–604.Google Scholar
Mincy, JE. Posttraumatic cerebrospinal fluid fistula of the frontal fossa. J Trauma 1966;6:618–22.Google Scholar
Ratilal, BO, Costa, J, Sampaio, C, Pappamikail, L. Antibiotic prophylaxis for preventing meningitis in patients with basilar skull fractures. Cochrane Database Syst Rev 2011;8:CD004884.Google Scholar
Scholsem, M, Scholtes, F, Collignon, F, et al. Surgical management of anterior cranial base fractures with cerebrospinal fluid fistulae: a single institution experience. Neurosurgery 2008;62:463–9.Google Scholar

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