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CURRENT ISSUEITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

A Journal on Maxillofacial Surgery


Official Journal of the Italian Society of Maxillofacial Surgery

 

Rivista Italiana di Chirurgia Maxillo-Facciale 2002 August;13(2):87-92

 ORIGINAL ARTICLES

Emergency surgical management of the pan-facial complex trauma. Our experience

Taglialatela Scafati C. 1, Facciuto E. 2, Scotto Di Clemente S. 3, Romano R. 2, Taglialatela Scafati S. 4, Parancandolo S. 2

1 Emergency Maxillo-Facial Surgery Simple Unit “A. Cardarelli” Hospital, Naples
2 Maxillo-Facial Surgery Complex Unit “A. Cardarelli" Hospital, Naples
3 Maxillo-Facial Surgery Department University of Udine, Udine
4 Studente di Facoltà di Medicina e Chirurgia Università “Federico II” di Napoli

Background. The ­authors ­report ­their expe­ri­ence in ­the Department of Emergency ­and Acceptance (­DEA) ­with ­regard to emer­gen­cy sur­gi­cal treat­ment of facial­ly trau­mat­ised ­patients, point­ing up ­the ­great util­ity of ­team ­work ­with spe­cial­ists in dif­fer­ent sec­tors. In ­most cas­es, ­these cas­es ­come ­into ­the clin­i­cal cat­e­go­ry of ­poly-trau­mat­ised ­patients, requir­ing a mul­ti­dis­ci­pli­nary ­approach.
Methods. The advan­tag­es of ear­ly treat­ment of ­these ­lesions ­are ­stressed, ­both ­for ­the ­patient, ­and ­for ­the econ­o­my of ­the hos­pi­tal. Offering ­the ­patients mul­ti­dis­ci­pli­nary assis­tance by per­form­ing com­bined sur­gi­cal oper­a­tions, fur­ther sur­gi­cal ses­sions ­are avoid­ed, ena­bling fast­er mor­pho-func­tion­al recov­ery ­and mark­ed­ly short­en­ing hos­pi­tal­isa­tion ­times.
Results. Good ­results ­were ­obtained ­that, in ­the ­author’s expe­ri­ence, ­are ­more obvi­ous ­when ­the ­patient is oper­at­ed in ­the ­hours imme­di­ate­ly ­post-trau­ma.
Conclusions. For ­this rea­son ­the ­hope is ­expressed ­that ­more infor­ma­tion be pro­vid­ed regard­ing ­the ­need to trans­fer ­polytrau­mat­ised ­patients ­with ­lesions requir­ing high­ly spe­cial­ised ­skills, ­such as ­facial or oth­er ­lesions, to ­the high­ly spe­cial­ised emer­gen­cy cen­tres of hos­pi­tals of nation­al impor­tance, as quick­ly as pos­sible. Only ­thus ­will it be pos­sible to ­offer ade­quate assis­tance, avoid­ing oper­at­ing on com­pli­ca­tions or con­se­quenc­es of ­lesions, as ­has fre­quent­ly ­occurred in ­the ­past as ­and as unfor­tu­nate­ly some­times ­still ­occurs ­today.

language: English


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