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Chapter 8 - Facial Trauma

Published online by Cambridge University Press:  23 August 2019

Alex Koyfman
Affiliation:
University of Texas Southwestern Medical Center
Brit Long
Affiliation:
San Antonio Military Medical Center
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Summary

Facial trauma is a common presentation in the Emergency Department. As the face is vital to both physical appearance and the ability to eat, speak, and perform other important functions, proper management of patients presenting with facial trauma is critical. Initial treatment must focus on life-threatening injuries, but careful attention to long-term function and cosmesis must also be considered. Any patient presenting with facial trauma must also be evaluated for other traumatic injuries, as more than 50% of these patients will have injuries in multiple systems.1 As with any trauma patient, ATLS guidelines should be followed, and the initial evaluation of injuries should begin with management of the airway, breathing, and circulation.

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