Tactics in rendering of specialized medical care to the casualties with combined maxillofacial trauma

: Basing on the clinic's data obtained during the 5-year period (2000-2004) we observed 653 patients with different traumas of maxillofacial area. Among the patients 69.8% were the casualties with mandible fractures, 6.7--with maxilla fractures and 2.5%--with zygomatic bone fractures. The combined injuries of maxillofacial and other areas were observed in 11.6%. The combined injuries of maxillofacial area with extremities constituted 0.6%, with chest--0.5% and adjacent areas of head--9.5%. The analysis of conducted therapeutic work and previous experience allows suggesting the medical tactics concerning the problems of terms, methods and volume of specialized care rendered to the patients with combined maxillofacial trauma. It implies that combined injury of jaws with other body segments requires rendering of specialized care in whole volume, early periods, just immediately after getting the patient from shock.