How to reduce mortality and postoperative complications in severe maxillofacial war injuries (16 years experience )

Abstract

ABSTRACT:War injuries is traumatic surgery applied under condition of war which cannot modified by the surgeon .The fundamental principles which must be adhered to in the treatment of those cases remain in force whatever circumstances may arise and the important one is saving the patient life .Hippocrates ,writing in the fourth century B.C (war is only the proper school for a surgeon) .The aim of this paper that during 16 years of work in management of five hundreds of severe maxillofacial war injuries in three military hospitals one of them a forward hospital nearly all patients life were saved for those with severe maxillofacial injuries they arrived alive to the hospital .And the postoperative complications were few . So those severely injured patient should be assessed carefully prior to the treatment to avoid unwanted complications .And to keep in mind that the time factor with the wise decision is the key for successful treatment of those patients , by saving their lives first and skillful surgical approach in the theater to reduce post operative complications . It is good opinion that not to waste that golden minutes when the critically injured patient received in the hospital with e .g radiological examination and other investigations . And one of the main things which I like to emphasize on is that not to disturb your patient more or to try a blind intubation .Emergency tracheotomy with or without local anesthesia saved nearly many patient lives from definite death .The completion of the operation in one step give a very interesting results by reducing post operative complications