INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com

GK /...
MAXILLOFACIAL INJURIES
• FUNCTION

“APPEARANCE”

• SMELL

• EAT

• SEE

• HEAR

• TALK

• BREATHE
www.indiandentalacademy....
MAXILLOFACIAL INJURIES
TRAUMA: PHYSICAL FORCE RESULTS IN INJURY

F = mv2
ETIOLOGY
• ASSAULTS
• FALL
• INDUSTRIAL ACCIDENTS...
MAXILLOFACIAL INJURIES
SERIOUS TRAUMA: DEATH
TRIMODAL DISTRIBUTION
• SECONDS TO MINUTES
• MINUTES TO HOURS
(GOLDEN HOUR)
•...
MAXILLOFACIAL INJURIES
GOLDEN HOUR

COMPLICATIONS
UNRECOGNIZED SERIOUS

AIRWAY
CERVICAL SPINE
HAEMORRHAGE
www.indiandental...
MAXILLOFACIAL INJURIES
GOLDEN HOUR

AIRWAY
BREATHING
CIRCULATION
DEFORMITY
EXPOSURE
www.indiandentalacademy.com

GK / MAXF...
MAXILLOFACIAL INJURIES
GOLDEN HOUR
AIRWAY
• SUCTION
• CHIN LIFT - JAW THRUST
• AIRWAYS
• CRICO / TRACHY
• OXYGEN

www.indi...
MAXILLOFACIAL INJURIES
GOLDEN HOUR
BREATHING
CHEST INJURY
• Pneumothorax
• Cardiac tamponade
• Ruptured diaphragm
www.indi...
MAXILLOFACIAL INJURIES
GOLDEN HOUR

CIRCULATION
I.V. ACCESS
TRANSFUSION
Hypovolemia- SHOCK

www.indiandentalacademy.com

G...
MAXILLOFACIAL INJURIES
GOLDEN HOUR: CIRCULATION

Hypovolemic shock
• Tachycardia
• Hypotension
• Cold clammy skin
• Loss o...
MAXILLOFACIAL INJURIES
GOLDEN HOUR
DISABILITY
Patient’s response ‘AVPU’
Awake
Verbal stimuli
Painful stimuli
Unconscious
w...
MAXILLOFACIAL INJURIES
DIAGNOSIS & TREATMENT PLAN
Eye witness report
Clinical diagnosis (ABCDE)
Neurological examination

...
EYE
OPENING

MOTOR
RESPONSE

www.indiandentalacademy.com

VERBAL RESPONSE

GK / MAXFAC
SDM DHARWAD
MAXILLOFACIAL INJURIES
Secondary survey
ABDOMEN
Occult blood sequestration
Tenderness / acute abdomen
Gastric decompressio...
MAXILLOFACIAL INJURIES
Secondary survey
EXTREMITIES
Reduced perfusion
Traumatic amputation
Compartmental Syndrome
Site for...
MAXILLOFACIAL INJURIES
EXTRA-ORAL EXAMINATION

Inspection
•

Swelling

•

Hematoma

•

Skin lacerations / defects

•

Faci...
MAXILLOFACIAL INJURIES
EXTRA-ORAL EXAMINATION

Palpation
•

Tenderness

•

Crepitation

•

Contour irregularities (step)

...
MAXILLOFACIAL INJURIES
EXTRA-ORAL EXAMINATION

Soft tissues

(contusion

tissue loss)
Foreign bodies
Nerves
Ducts
Blood ve...
MAXILLOFACIAL INJURIES
INTRA-ORAL EXAMINATION

Inspection
• Asymmetry, Swelling
• Bleeding, Hematoma
• Occlusal plane / St...
MAXILLOFACIAL INJURIES
INTRA-ORAL EXAMINATION

Palpation
• Bimanual
• Tenderness
• # line / Step deformity
• Crepitation
•...
MAXILLOFACIAL INJURIES
RADIOGRAPHIC EXAMINATION
(based on clinical examination)
Plain radiographs
Location & Severity of f...
MAXILLOFACIAL INJURIES
Primary management (ABCDE)
Neurological assessment (GCS)
Control of pain
analgesics
Control of infe...
MAXILLOFACIAL INJURIES
Classification of fractures
1)Relation to overlying soft tissues
Closed / Simple
Open / Compound
Co...
MAXILLOFACIAL INJURIES
Classification of fractures

3) Anatomical Location
Additional features
•

Pathologic

•

Atrophic
...
T
hank You
www.indiandentalacademy.com
Upcoming SlideShare
Loading in …5
×

Maxillofacial injurie /certified fixed orthodontic courses by Indian dental academy

426 views
267 views

Published on


The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
426
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
10
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Maxillofacial injurie /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  2. 2. MAXILLOFACIAL INJURIES • FUNCTION “APPEARANCE” • SMELL • EAT • SEE • HEAR • TALK • BREATHE www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  3. 3. MAXILLOFACIAL INJURIES TRAUMA: PHYSICAL FORCE RESULTS IN INJURY F = mv2 ETIOLOGY • ASSAULTS • FALL • INDUSTRIAL ACCIDENTS • RTA • SPORTS INJURIES • WAR INJURIES GK / MAXFAC SDM DHARWAD www.indiandentalacademy.com
  4. 4. MAXILLOFACIAL INJURIES SERIOUS TRAUMA: DEATH TRIMODAL DISTRIBUTION • SECONDS TO MINUTES • MINUTES TO HOURS (GOLDEN HOUR) • AFTER DAYS www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  5. 5. MAXILLOFACIAL INJURIES GOLDEN HOUR COMPLICATIONS UNRECOGNIZED SERIOUS AIRWAY CERVICAL SPINE HAEMORRHAGE www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  6. 6. MAXILLOFACIAL INJURIES GOLDEN HOUR AIRWAY BREATHING CIRCULATION DEFORMITY EXPOSURE www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  7. 7. MAXILLOFACIAL INJURIES GOLDEN HOUR AIRWAY • SUCTION • CHIN LIFT - JAW THRUST • AIRWAYS • CRICO / TRACHY • OXYGEN www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  8. 8. MAXILLOFACIAL INJURIES GOLDEN HOUR BREATHING CHEST INJURY • Pneumothorax • Cardiac tamponade • Ruptured diaphragm www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  9. 9. MAXILLOFACIAL INJURIES GOLDEN HOUR CIRCULATION I.V. ACCESS TRANSFUSION Hypovolemia- SHOCK www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  10. 10. MAXILLOFACIAL INJURIES GOLDEN HOUR: CIRCULATION Hypovolemic shock • Tachycardia • Hypotension • Cold clammy skin • Loss of peripheral pulse • Falling urinary output • Confusion & disorientation www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  11. 11. MAXILLOFACIAL INJURIES GOLDEN HOUR DISABILITY Patient’s response ‘AVPU’ Awake Verbal stimuli Painful stimuli Unconscious www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  12. 12. MAXILLOFACIAL INJURIES DIAGNOSIS & TREATMENT PLAN Eye witness report Clinical diagnosis (ABCDE) Neurological examination - G.C.S - Cranial Nerves www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  13. 13. EYE OPENING MOTOR RESPONSE www.indiandentalacademy.com VERBAL RESPONSE GK / MAXFAC SDM DHARWAD
  14. 14. MAXILLOFACIAL INJURIES Secondary survey ABDOMEN Occult blood sequestration Tenderness / acute abdomen Gastric decompression (N.G tube) Direct peritoneal lavage www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  15. 15. MAXILLOFACIAL INJURIES Secondary survey EXTREMITIES Reduced perfusion Traumatic amputation Compartmental Syndrome Site for major blood loss (1-6 units) www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  16. 16. MAXILLOFACIAL INJURIES EXTRA-ORAL EXAMINATION Inspection • Swelling • Hematoma • Skin lacerations / defects • Facial nerve • Mouth opening www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  17. 17. MAXILLOFACIAL INJURIES EXTRA-ORAL EXAMINATION Palpation • Tenderness • Crepitation • Contour irregularities (step) • Depressed / Penetrating bone www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  18. 18. MAXILLOFACIAL INJURIES EXTRA-ORAL EXAMINATION Soft tissues (contusion tissue loss) Foreign bodies Nerves Ducts Blood vessels (remember tetanus) www.indiandentalacademy.com (NOSE / EAR / EYE) GK / MAXFAC SDM DHARWAD
  19. 19. MAXILLOFACIAL INJURIES INTRA-ORAL EXAMINATION Inspection • Asymmetry, Swelling • Bleeding, Hematoma • Occlusal plane / Step deformity • Mucosal lacerations • Teeth: fracture avulsion dislocation www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  20. 20. MAXILLOFACIAL INJURIES INTRA-ORAL EXAMINATION Palpation • Bimanual • Tenderness • # line / Step deformity • Crepitation • Teeth movement, Number • Missing parts • Sensory distribution V1 - V3 www.indiandentalacademy.com ( SALIVARY GLANDS / TONGUE / PALATE ) GK / MAXFAC SDM DHARWAD
  21. 21. MAXILLOFACIAL INJURIES RADIOGRAPHIC EXAMINATION (based on clinical examination) Plain radiographs Location & Severity of fractures Radio-opaque foreign bodies CT scans Intra-cranial injuries Orbital & naso-ethmoidal injuries www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  22. 22. MAXILLOFACIAL INJURIES Primary management (ABCDE) Neurological assessment (GCS) Control of pain analgesics Control of infection antibiotics Surgical planning GK / MAXFAC SDM DHARWAD www.indiandentalacademy.com
  23. 23. MAXILLOFACIAL INJURIES Classification of fractures 1)Relation to overlying soft tissues Closed / Simple Open / Compound Complicated 2)Type of fracture Green stick Single Multiple Comminuted www.indiandentalacademy.com ( oblique / transverse / sagittal & degree of dislocation ) GK / MAXFAC SDM DHARWAD
  24. 24. MAXILLOFACIAL INJURIES Classification of fractures 3) Anatomical Location Additional features • Pathologic • Atrophic • Impacted • Direct / indirect (contra-coup) • Blow out / in www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  25. 25. T hank You www.indiandentalacademy.com

×