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Chapter 18 - Craniofacial Trauma

Injury Patterns and Management

Published online by Cambridge University Press:  28 April 2020

Peter C. Whitfield
Derriford Hospital, Plymouth
Jessie Welbourne
University Hospitals, Plymouth
Elfyn Thomas
Derriford Hospital, Plymouth
Fiona Summers
Aberdeen Royal Infirmary
Maggie Whyte
Aberdeen Royal Infirmary
Peter J. Hutchinson
Addenbrooke’s Hospital, Cambridge
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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.

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

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