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  • Early management of extensive maxillofacial injuries and orbital injuries in severe head injury patients-A study of 250 cases.

    Final Number:

    Ramesh Ranganathan Dr.Ramesh.R, DNB Neurosurgery

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2013 Annual Meeting

    Introduction: Early management of extensive maxillfacial injuries in patients with severe head injury is a challenging task and requires multi speciality and multidisciplinary approach involving Neurosurgeons,Maxillofacial surgeons and Intensivists to acheive good functional and Neurological outcome

    Methods: 250 cases of severe head injury patients with glasgow coma scales between 8 and 12 with extensive maxillfacial ,mandible and orbital injuries were treated in our hospital in the last eight years and all patients were operated by our team of Neurosurgeons and maxillfacial surgeons with in forty eight hours of Trauma

    Results: 95 percent of patients showed good functional and neurological recovery with only two patients dying due to meningitis.

    Conclusions: Early management of extensive maxillo facial injuries in patients with serious head injuries remains a challenge to Neurosurgeons the world over.Through our case study we conclude that a multidisciplinary approach,with high quality of intensive care patients can be treated for both head injury and extensive maxillofacial injuries in the early stage of trauma with good functional and neurological outcome

    Patient Care: This study encourages us to suggest that patients with severe head injuries and even poor GCS score can be treated for extensive maxillofacial injuries in the early stage of trauma management with good neurological and functional outcome

    Learning Objectives: Early management of patients with severe head injury and extensive maxillofacial injury is a safe proposition involving a team of Neurosurgeons,Maxillofacial surgeons and high quality ICU care with a dedicated team of critical care specialists


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