Penetrating Trauma to the Face

Over a third of patients with penetrating trauma to the face have significant complications, including intracranial injury, blindness, or infection. 18 Shotgun blasts to the face are especially problematic, and globe injury is common.

The most immediate concern is airway management, which often requires emergency intubation or cricothyroidotomy. Not only is the risk of intracranial injury high, but there is also the possibility of cavernous sinus fistulas. The bullet's path may endanger the great vessels of the neck, and zone III injuries to the carotid are common. Patients at risk require angiography.

Infection is also a concern in patients with gunshot wounds to the face, especially if there is intraoral trajectory. In this situation, administer intravenous antibiotics effective against oral flora.19

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

Get My Free Ebook


Post a comment