[Massive facial destruction. Management, resuscitation, anesthesia, surgery (experience at the Henri-Mondor University Hospital Center)].

Anaylsing 67 cases of facial injury treated at the Henri Mondor Hospital in Créteil, the authors consider the various problems raised by these injured patients. -first aid, -methods of protection of the airway, -surgical management, -anaesthetic management and resuscitation, -problems of post-operative supervision, -methods of feeding. Owing to the localisation of these lesions, and the surgical methods, these are high risk injured patients who raise complex problems in the pre, per and post-operative periods, dominated by maintenance of the permeability of the airway. A specialised multidisciplinary team ensures coordination of the various acts.