Deformity of Craniofacial Skeleton by Traumatic Injuries

Road traffic crashes on highways with high speed cars can end with termination of life. Immediately after the accident, the medical management includes early transportation by ambulance with highly equipped machines, skilled nurses and doctors to check blood pressure, blood loss, and breathing, administration of intravenous fluid plasma and collecting blood samples for blood grouping. Other treatment can be undertaken by ambulance staff such as temporary splinting (SPICA) of fractured legs and neck support. A helicopter may be used for urgent transport of injured patients with multiple injuries to highly equipped intensive care units in general hospitals. The cooperation of different specialties is required, such as neurosurgeons, craniomaxillofacial surgeons, chest surgeons, general surgeons, and orthopedic surgeons. The order of priority is head injuries, chest injuries, and abdominal injuries. Neglecting early treatment opportunities or delaying treatment results in severe deformities of the facial skeleton and damage to growth of the face in children, leading to severe deformity of the face. Isolated injuries to the eye orbit, nose, jaws, and temporo-mandibular joint (TMJ) may end in ankylosis of the joint in children. A series of clinical cases will be shown.