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Tag: facial

Neftaly Email: sayprobiz@gmail.com Call/WhatsApp: + 27 84 313 7407

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  • Neftaly Facial Trauma with Airway Compromise

    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

    ???? Common Causes

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

    ???? 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

    ⚠️ 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

    ????️ 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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