口腔颌面部损伤_1课件.ppt

口腔颌面部损伤 Dr. Steve GF Shen Oral and Maxillofacial Surgery School of Stomatology Shanghai Ninth People’s Hospital Shanghai Second Medical University Vocabulary Vocabulary Vocabulary Vocabulary Vocabulary Definition of trauma trauma ?noun [C or U] severe emotional shock and pain caused by an extremely upsetting experience:the trauma of marriage breakdownHe had psychotherapy to help him deal with his childhood traumas. SPECIALIZED a severe injury, usually caused by a violent attack or an accident Traffic Accident Combined injury to other viscera -Fatal to life Damage to maxillofacial structure Stomatognathic dysfunction Facial esthetic problem Psychological trauma 1. Rich blood supply Cerebral concussion Cerebral contusion Intracranial hematoma Skull base fracture 1. Prevention of Asphyxia  Character: Irregular wound edge, foreign body, pain, oozing yellowish plasma oozing Management: Debridement, remove foreign body, Dry wound, drain when infected Definition Cheek injuries Palate injuries Injuries at other regions Debridement Wound closure Antibiotics 5. Prevention of Infection 6. Bandage Transportation Section 4 Soft Tissue Trauma Abrasions 擦伤 Contusions 挫伤 Contusions Lacerations 挫裂伤 Incised Puncture Wound 切割伤及刺伤 Bite Wound 咬伤 Types of injuries Section 4 Soft Tissue Trauma 1. Abrasions Property: rough surface Epidermis superficial dermis 1. Abrasions 2. Contusions Charater: petechia, swelling, pain Management: Hemostasis Pain-killer Prevention of infection Hematoma resorption Re-establishment of function Property: blunt material fell to hard object Subdermal tissue (no open wound) Property: Blunt object with high mechanical force 3. Contusions Lacerations Character Irregular wound edge, saw-toothed Big laceration w/wo necrotic tissue open fractures Management Debridement Wound Closure Soft tissue 3. Contusions Lacerations Property: Sharp object or instruments 4. Incised Puncture Wound Charater Regular wound edge Ble