Modern Management of Maxillofacial Injuries

Maxillofacial involvement in patients with multiple trauma injuries is usually frequent and noticeable, but it is mainly dangerous for ATLS priorities, meaning that it can compromise airway protection (A) and circulation (C) and it can often be associated with brain and cervical spine injuries. Facial hemorrhages are rarely one of the main causes of hemodynamic instability, but their early detection and prompt local control must be supported by each emergency surgeon. In very few, selected and complex cases, when local measures fail, endovascular treatment is today the best option available to achieve definitive control of refractory bleeding.