Neftaly Facial Trauma with Airway Compromise

• Definition: Trauma to the face that leads to partial or complete airway obstruction.
• Airway compromise can be caused by:
  • Bleeding
  • Edema
  • Fractures (e.g., mandible, midface, nasal)
  • Foreign bodies
  • Soft tissue collapse

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???? Common Causes

• Road traffic accidents
• Assaults or gunshot wounds
• Falls from height
• Sports or industrial injuries
• Blast or penetrating injuries

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???? Signs of Airway Compromise

• Stridor, hoarseness
• Gurgling sounds, especially with blood or vomitus
• Respiratory distress
• Cyanosis, agitation, altered mental status
• Inability to speak or protect airway
• Massive facial swelling or distortion

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⚠️ Airway Danger Zones

• Bleeding into oropharynx → aspiration risk
• Mandibular fracture → tongue falls back, obstructs airway
• Le Fort fractures → unstable midface
• Burns or inhalation injury → rapid swelling

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????️ Management

???? 1. Airway First

• Call for help early (anesthesia, ENT, trauma surgery)
• Suction aggressively to clear blood, vomitus
• Jaw thrust/chin lift if C-spine cleared
• Bag-mask ventilation: May be difficult due to facial disruption

???? 2. Secure the Airway

• Orotracheal intubation if possible (rapid sequenc

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