口腔颌面部损伤PPT课件.ppt

口腔颌面部损伤 Dr SteveGFShenOralandMaxillofacialSurgerySchoolofStomatologyShanghaiNinthPeople sHospitalShanghaiSecondMedicalUniversity Oral MaxillofacialTrauma Chapter7 2020 1 7 1 2020 1 7 2 Vocabulary 2020 1 7 3 Vocabulary 2020 1 7 4 Vocabulary 2020 1 7 5 Vocabulary 2020 1 7 6 Vocabulary 2020 1 7 7 Definitionoftrauma traumanoun CorU severeemotionalshockandpaincausedbyanextremelyupsettingexperience thetraumaofmarriagebreakdownHehadpsychotherapytohelphimdealwithhischildhoodtraumas SPECIALIZEDasevereinjury usuallycausedbyaviolentattackoranaccident fromCambridgeAdvancedLearner sDictionary 2020 1 7 8 Section1Introduction War Incidence TrafficAccident Sports Falling Bustup Laborinjury 2020 1 7 9 FinancialLoss 致伤人数 Nooftrafficaccident TrafficAccident 2020 1 7 10 TrafficAccident 2020 1 7 11 Combinedinjurytootherviscera FataltolifeDamagetomaxillofacialstructureStomatognathicdysfunctionFacialestheticproblemPsychologicaltrauma EffectofTraumaontheHumanBody 2020 1 7 12 1 Richbloodsupply Section2CharacteristicsofOMFTrauma 2020 1 7 13 DebridementTime 24 48h Tendtohematoma edema Respiratorytract Asphyxia Abilitytoanti infection regeneration Woundhealing 1 Richbloodsupply 2020 1 7 14 CerebralconcussionCerebralcontusionIntracranialhematomaSkullbasefracture IncreaseinfectiousincidenceMalocclusioncaused DiagnosisOcclusionregained Treatment 2 Relationshipbtwtooth OMFtrauma 3 Cranio cerebraltrauma 2020 1 7 15 Mouthopening mastication swallowing 4 Cervicaltrauma 5 Effectonbreathing 6 Effectofondigastricsystem BleedingParalysis瘫痪 Leadingdifficultybreathing diet worseoralhygiene Asphyxia窒息 2020 1 7 16 7 Multi sinus contamination Infection OralcavityNasalcavityPharyngealcavityOrbitParanasalsinus BacteriaTempHumidity 2020 1 7 17 8 Damagetospecificstructure ParotidGlandFacialN TrigeminalN SalivaryfistulaFacialparalysisRegionalnumbness 2020 1 7 18 9 FacialDefect FacialcontourPsychologicaltrauma 2020 1 7 19 EvaluatetraumasoonIdentifythekeytrauma managethefatalfirstCarefulhistorytaking thoroughphysicalexamRescueintimeManagementinorder GeneralRules Section3Rescue 2020 1 7 20 1 PreventionofAsphyxia Section3Rescue 2020 1 7 21 Dysphoria sweating inhalingrespirationDifficulttoinhale hypopnea nasalalarmovement labialcyanosisThreeconcavesigns Rapidbreathing weakpulse decreasedBPPupilsdiluted Noreflectiontolight 1 1Clinicalfeaturesofasphyxia Prodrome 2020 1 7 22 1 2EtiologyofAsphyxia Foreignbodyobstruction InspiratoryAsphyxia LowAirway SwellingForeignbodyBlood salivaVomit Upperairway Tissuedislocation ObstructiveAsphyxia 2020 1 7 23 1 3RescueofAsphyxia ClearforeignbodyinupperairwaySuspendmaxillaIntubationHoldthetongueout ObstructiveAsphyxia 2020 1 7 24 2 Hemostasia Twosteps JudgebleedingsituationChoosethewaytostopbleeding Section3Rescue 2020 1 7 25 2 1Judgebleedingsituation Threecategories ArterialCapillaryVenous Basedonorigin 2020 1 7 26 压迫止血 指压止血法 包扎止血法 填塞止血法 结扎止血法 药物止血法 2 2Methodsofhemostat 2020 1 7 27 3 Anti shocktreatment 2 Purposeofanti shock 1 Definition Classification TraumaticshockExsanguineshock 20 BodyweightToxicshockInfectiousshock Restorecirculation 2020 1 7 28 4 PrinciplesofTreatment 3 FeaturesofShock Earlystage Dysphoria quick superficialbreath sweating palenessMiddlestage Tingletosupression emotionalfaint unconsciousness decreaseBP labialpalenessLatestage weakerpulsation unmeasurableBP hyponuria anuria 30ml h Hemostasis bloodtransfusion paincontrol fluidtransfusion sedation 2020 1 7 29 1 Judgement 4 CombinedCraniocerebralInjuries Consciousness pulse BP respiration pupil 2 Earlydiscovery earlymanagement RetrogradeobliviscenceCerebralconcussionIntermediatewake upExtraduralhematomaCerebralfluidleakSkullbasefracture 2020 1 7 30 2020 1 7 31 DebridementWoundclosureAntibiotics 5 PreventionofInfection 6 Bandage Transportation 2020 1 7 32 Section4SoftTissueTrauma 2020 1 7 33 Abrasions擦伤Contusions挫伤Contusions Lacerations挫裂伤Incised PunctureWound切割伤及刺伤BiteWound咬伤 Typesofinjuries Section4SoftTissueTrauma 2020 1 7 34 Character Irregularwoundedge foreignbody pain oozing yellowishplasmaoozingManagement Debridement removeforeignbody Drywound drainwheninfected 1 Abrasions Property roughsurface Epidermis superficialdermis 2020 1 7 35 1 Abrasions 2020 1 7 36 2 Contusions Charater petechia swelling painManagement HemostasisPain killerPreventionofinfectionHematomaresorptionRe establishmentoffunction Property bluntmaterial felltohardobject Subdermaltissue noopenwound 2020 1 7 37 Property Bluntobjectwithhighmechanicalforce 3 Contusions Lacerations CharacterIrregularwoundedge saw toothedBiglacerationw wonecrotictissue openfracturesManagementDebridementWoundClosure Softtissue 2020 1 7 38 3 Contusions Lacerations 2020 1 7 39 Property Sharpobjectorinstruments 4 Incised PunctureWound CharaterRegularwoundedgeBleedingSmallaccess butdeepwoundManagementDebridementWoundclosure Softtissue 2020 1 7 40 Property Animal Wolf dog Bear orhumanbeingsCharacterToothtracedHeavycontaminationTendtoinfectionManagementThoroughdebridementInfectioncontrolSkingraftaftergranulartissueregeneratedVaccinationofTetanus Rabies 5 BiteWound 2020 1 7 41 Definition Debridement MainEntry de bride mentPronunciation di brEd m nt dA m nt dA brEd m nFunction nounEtymology Frenchd bridement fromd bridertoremoveadhesions literally tounbridle fromMiddleFrenchdesbrider fromdes de bridebridle fromMiddleHighGermanbrIdel moreatBRIDLE thesurgicalremovaloflacerated devitalized orcontaminatedtissue 2020 1 7 42 Protocol 1 washwoundTime 6 12hSolution soapwater saline hydrogendioxide Debridement 3 Closure 2 CleanwoundRemovalofforeignbodyTrimmingofnecrotictissue 2020 1 7 43 2020 1 7 44 CheekinjuriesPalateinjuriesInjuriesatotherregions Managementofsofttissureinjuries Tongueinjuries Lengthmaintain longitudinalclosureIndependentclosure buttonguesuturedominationBigneedlewithbig depthsuturingormatricsuturing 2020 1 7 45 Managementofsofttissureinjuries 2020 1 7 46 2020 1 7 47 Section5InjuryofTeethandDentalAlveolarProcess 2020 1 7 48 1 Toothinjuries 1 1ContusionofTeeth Etiology ExtrinsicforceblunttoothinjuriesPeriodontalligamentsordentalpulp Character ExtrusionoftoothMobilityPercussion ToothachewhenchewingManagementToothrestToothgroundSimpleligation 2020 1 7 49 1 Toothinjuries 1 2LuxationofTeeth Classification CharacterToothdislocatedorexfoliatedManagementToothprotectionpriorityReductionFixationReimplantation Partialluxation Completeluxation Toothdislocation Semiluxation Intrusivemovement 2020 1 7 50 Gingivalorlabialswelling lacerationAdjacentteethoralveolarprocessmovementwhenoneaffectedtoothtouchedFragmentdislocation MalocclusionInaccordancewithtoothluxationorfracture 2 FractureofAlveolarProcess