@article{ref1,
title="Damage control applied to severe maxillofacial trauma",
journal="Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale",
year="2014",
author="Laversanne, S. and Pierrou, C. and Haen, P. and Brignol, L. and Thiéry, G.",
volume="115",
number="1",
pages="37-41",
abstract="Damage control is defined by the extreme emergency implementation of a first resuscitation and surgical step, during which there is no attempt at repairing lesions but only at restoring adequate physiological function. In recent years, &quot;damage control&quot; has considerably improved the management of polytrauma patients, especially in war surgery. Respiratory distress or hemorrhagic shock requirements are critical maxillofacial emergencies. We present the specificities of &quot;damage control&quot; management for patients with severe maxillofacial trauma. Some clinical and biological criteria have been defined to choose &quot;damage control&quot; strategy, in patients presenting with life-threatening facial hemorrhage after facial trauma. A rapid initial stage restores vital functions. Airways are maintained and secured: oro-tracheal intubation, cricothyroidotomy, surgical tracheotomy. Facial bleeding is controlled with various means: oronasal packing, angiographic embolization, selective ligation then external carotid artery if necessary. The resuscitation step stabilizes the lethal triad: hypothermia, coagulopathy, metabolic acidosis. The second step that comes in later is a surgical repair of facial injuries. &quot;Damage control&quot; can be adequately applied to the management of patients with severe maxillofacial trauma.<p /> <p>Language: fr</p>",
language="fr",
issn="2213-6533",
doi="10.1016/j.revsto.2013.03.003",
url="http://dx.doi.org/10.1016/j.revsto.2013.03.003"
}