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Official Journal of the Italian Society of Maxillofacial Surgery
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.