Harpreet Singh

Adesh medical university Bathinda, India

Title: "Maxillofacial Trauma Management"

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Biography

Dr. Harpreet Singh Khullar is a Junior Resident in the Department of ENT at AIMSR, Bathinda. Originally from Gurdaspur, Punjab, he has built a strong foundation in both clinical practice and academic research. His current thesis focuses on the clinical profile of patients with maxillofacial injuries in the Malwa region, highlighting his interest in trauma care. He is actively involved in managing ENT-related emergencies and advancing his expertise through hands-on experience. Known for his dedication and professionalism, Dr. Khullar is committed to improving patient outcomes and contributing to the field of otolaryngology.

Abstract

Trauma and Pathophysiology: Maxillofacial trauma is on the rise, often caused by road accidents, violence, falls, or sports. These injuries demand urgent care due to the region’s complex anatomy and proximity to vital structures like the brain. Timely diagnosis and treatment are key to preventing serious complications and ensuring quality of life.

Etiology: Around 60% of severe facial trauma cases involve multisystem injuries. Brain injuries occur in 20–50%, cervical spine injuries in 1–4%, and blindness in 0.5–3%. Airway compromise is a major risk, requiring immediate attention.

Emergency Management – Airway Control: Secure the airway early. Prefer fiberoptic intubation; if unavailable, consider transtracheal or retrograde methods. Be ready for cricothyroidotomy or tracheostomy in severe cases.

Emergency Management – Intubation Considerations: Avoid nasotracheal intubation due to bleeding and risk of skull base injury. Skip Rapid Sequence Intubation when possible—opt for awake intubation with benzodiazepine sedation.

Emergency Management – Hemorrhage Control: Use direct pressure for facial and nasal bleeding. Pack anteriorly and posteriorly for nosebleeds. For pharyngeal bleeding, pack around the endotracheal tube carefully to control bleeding and protect the airway.