Typically blunt trauma from motor vehicle accidents, direct blows including assaults, or falls.
Consider physical assault and domestic violence, especially in women and children.
Most post-traumatic deformities of the face represent underlying fractures.
Pain, swelling, ecchymosis, and deformity.
CSF rhinorrhea, facial hemorrhage, epistaxis, raccoon e...
Airway control takes precedence:
Attempt chin lift, jaw thrust, and suctioning first.
Underlying injuries may make these attempts as well as use of bag/valve/mask (BVM) device unsu...
Significant associated trauma.
Le Fort II and III fractures.
Posterior table frontal sinus fractures.
Most open fractures, excluding simp...
Facial fractures and injuries can be very dramatic in appearance.
Airway management always takes precedence. Avoid nasotracheal intubation.
After the airway is secured as necessary, ...
Chapman VM, Fenton LZ, Gao D, et al. Facial fractures in children: Unique patterns of injury observed by computed tomography. J Comput Assist Tomogr. 2009;33(1):70–72.
802.4 Closed fracture of malar and maxillary bones
802.6 Closed fracture of orbital floor (blow-out)
802.8 Closed fracture of other facial bones
802.9 Open fracture of other facial bones
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