Perry Michael, Dancey Anne, Mireskandari Kamiar, Oakley Peter, Davies Simon, Cameron Malcolm
Maxillofacial Unit, The Royal Group of Hospitals, Grosvenor Road, Belfast BT12 6BA, Northern Ireland, UK.
Injury. 2005 Aug;36(8):875-96. doi: 10.1016/j.injury.2004.09.018. Epub 2005 Mar 24.
Facial trauma, with or without life- and sight-threatening complications, may arise following isolated injury, or it may be associated with significant injuries elsewhere. Assessment needs to be both systematic and repeated, with the establishment of clearly stated priorities in overall care. Although the American College of Surgeons Advanced Trauma Life Support (ATLS) system of care is generally accepted as the gold standard in trauma care, it has potential pitfalls when managing maxillofacial injuries, which are discussed. Management of facial trauma can arguably be regarded as "facial orthopaedics", as both specialities share common management principles. This review outlines a working approach to the identification and management of life- and sight-threatening conditions following significant facial trauma.
面部创伤，无论有无危及生命和视力的并发症，可能在单独受伤后出现，也可能与其他部位的严重损伤相关。评估需要系统且反复进行，并在整体护理中明确规定优先事项。尽管美国外科医师学会高级创伤生命支持（ATLS）护理系统通常被视为创伤护理的金标准，但在处理颌面损伤时存在潜在缺陷，本文对此进行了讨论。面部创伤的处理可以说是“面部整形外科学”，因为这两个专业有共同的处理原则。本综述概述了一种在严重面部创伤后识别和处理危及生命和视力情况的实用方法。
