Facial trauma



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FACIAL TRAUMA

Jassin M. Jouria, MD

Dr. Jassin M. Jouria is a medical doctor, professor of academic medicine, and medical author. He graduated from Ross University School of Medicine and has completed his clinical clerkship training in various teaching hospitals throughout New York, including King’s County Hospital Center and Brookdale Medical Center, among others. Dr. Jouria has passed all USMLE medical board exams, and has served as a test prep tutor and instructor for Kaplan. He has developed several medical courses and curricula for a variety of educational institutions. Dr. Jouria has also served on multiple levels in the academic field including faculty member and Department Chair. Dr. Jouria continues to serves as a Subject Matter Expert for several continuing education organizations covering multiple basic medical sciences. He has also developed several continuing medical education courses covering various topics in clinical medicine. Recently, Dr. Jouria has been contracted by the University of Miami/Jackson Memorial Hospital’s Department of Surgery to develop an e-module training series for trauma patient management. Dr. Jouria is currently authoring an academic textbook on Human Anatomy & Physiology.

ABSTRACT

Physical trauma to the face can range from a simple bruise to large and painful lacerations, fractures, and trauma to the eyes, teeth, and nerves. Facial injuries have the potential to disfigure and cause significant loss of function, such as the sense of sight or smell, or even the ability to speak. Proper diagnosis and rapid treatment can minimize and prevent these effects. Basic facial anatomy and the etiology, clinical manifestations, assessment and acute management of facial trauma involving soft tissue injuries and fractures are reviewed.

Policy Statement

This activity has been planned and implemented in accordance with the policies of NurseCe4Less.com and the continuing nursing education requirements of the American Nurses Credentialing Center's Commission on Accreditation for registered nurses. It is the policy of NurseCe4Less.com to ensure objectivity, transparency, and best practice in clinical education for all continuing nursing education (CNE) activities.



Continuing Education Credit Designation

This educational activity is credited for 4 hours. Nurses may only claim credit commensurate with the credit awarded for completion of this course activity.

Pharmacology content is 0.5 hours (30 minutes).

Statement of Learning Need

Individuals with facial injuries often have other injuries in the setting of trauma, which require timely, coordinated, care of trauma victims by medical and surgical specialists trained to manage maxillofacial and multisystem injuries. In cases involving high impact and severe facial injuries, ongoing physical and emotional support is needed during all phases of care. Health clinicians need to have the necessary knowledge and a current understanding of facial reconstruction while caring for individuals with traumatic injuries to the face during all phases of health intervention and recovery.



Course Purpose

To provide advanced learning for clinicians interested in the acute and ongoing health management and recovery of patients with facial trauma.



Target Audience

Advanced Practice Registered Nurses and Registered Nurses

(Interdisciplinary Health Team Members, including Vocational Nurses and Medical Assistants may obtain a Certificate of Completion)

Course Author & Planning Team Conflict of Interest Disclosures

Jassin M. Jouria, MD, William S. Cook, PhD, Douglas Lawrence, MA,

Susan DePasquale, MSN, FPMHNP-BC – all have no disclosures

Acknowledgement of Commercial Support

There is no commercial support for this course.



Please take time to complete a self-assessment of knowledge, on page 4, sample questions before reading the article.

Opportunity to complete a self-assessment of knowledge learned will be provided at the end of the course.

  1. The submandibular and sublingual salivary glands are less commonly injured during facial trauma because



  1. of their anatomical location.

  2. they sit inside the cheek wall, opposite the upper molars.

  3. they lie posterior to the ramus of the mandible.

  4. they lie anterior to the auricle.



  1. True or False: The orbital rim must be inspected carefully since injury to the area may involve an underlying fracture.



  1. True

  2. False



  1. The head and neck region are involved in _____ of the burn injuries reported in the U.S.



  1. 25%

  2. 33%

  3. 50%

  4. 63%



  1. In children, dental trauma to the primary teeth most commonly occurs between the ages of



  1. 1 to 2 years.

  2. 2 to 3 years.

  3. 4 to 5 years.

  4. 7 to 10 years.



  1. The establishment of a patent airway is the first priority in patients with severe facial injuries. The mouth needs to be cleared of




  1. knocked out teeth.

  2. foreign debris.

  3. blood.

  4. All of the above




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