Initial Management of Maxillofacial Trauma

Trauma create a huge bulk of the figure of lives lost, exclusively in the effective age group. Trauma related deaths acquire a trimodal circulation: First, at site or on removal due to harshness of trauma injuries. The injury could be so severe that nothing can be done to save the life of that trauma victim. Second phase of death is usually due to hypovolaemia and are often treatable and avoidable. Timely and appropriate intervention at this stage can reduce the effects of trauma and prevent morbidity secondary to the injury. The third phase includes those patients who die of complications of trauma such as infection, embolism, sepsis, ARDS, and septic shock. A well-managed second phase is likely to reduce the incidence of the third phase. A systematic approach to a victim is very necessary so that any life-threatening injury is not missed. The approach to trauma must be done in the following steps: Primary survey and resuscitation, secondary survey and definitive care. This article outlines the various steps of the various steps of the initial management of trauma.