【PPT】-口腔颌面部损伤.ppt

口腔颌面部损伤;Vocabulary;Vocabulary;Vocabulary;Vocabulary;Vocabulary;Definition of trauma;Section 1 Introduction;24万;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;Debridement Time: 24 – 48 h; Cerebral concussion Cerebral contusion Intracranial hematoma Skull base fracture ;Mouth opening, mastication, swallowing;7. Multi-sinus - contamination;8. Damage to specific structure;9. Facial Defect;Evaluate trauma soon Identify the key trauma, manage the fatal first Careful history taking, thorough physical exam Rescue in time Management in order;1. Prevention of Asphyxia;Dysphoria, sweating, inhaling respiration Difficult to inhale, hypopnea, nasal alar movement, labial cyanosis Three concave signs、Rapid breathing, weak pulse, decreased BP Pupils diluted, No reflection to light;1.2 Etiology of Asphyxia;1.3 Rescue of Asphyxia; 2. Hemostasia ;2.1 Judge bleeding situation;压迫止血;3. Anti-shock treatment;(4) Principles of Treatment ;(1) Judgement;Date;Debridement Wound closure Antibiotics;;Abrasions 擦伤 Contusions 挫伤 Contusions Lacerations 挫裂伤 Incised Puncture Wound 切割伤及刺伤 Bite Wound 咬伤 ;Character: Irregular wound edge, foreign body, pain, oozing yellowish plasma oozing Management: Debridement, remove foreign body, Dry wound, drain when infected;1. Abrasions;2. Contusions;Property: Blunt object with high mechanical force;3. Contusions Lacerations;Property: Sharp object or instruments;Property: Animal (Wolf, dog, Bear) or human beings Character Tooth traced Heavy contamination Tend to infection Management Thorough debridement Infection control Skin graft after granular tissue regenerated Vaccination of Tetanus, Rabies;Definition;Protocol;Date;Cheek injuries Palate injuries Injuries at other regions;Management of soft tissure injuries;Date;Section 5 Injury of Teeth and Dental Alveolar Process;1. Toot