Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter
XXIII: Maxillofacial Wounds and Injuries
Prevention of Infection
United States Department of Defense
Because of the contiguity of the naso-oral passages and the perforating nature of these
wounds, maxillofacial wounds are doubly exposed to bacterial contamination. The mouth,
pharynx, and nose are heavily populated by a variety of pathogens. All fractures in this
region, except for fractures of the ascending ramus of the mandible, usually communicate
with the internal mucus membrane wound and the external skin wound.
Antibiotic therapy must begin early and be maintained if serious infection is to be
prevented or controlled. Oral hygiene, with particular attention to the teeth, is also
necessary. Placement of a nasogastric tube for feeding in the immediate postoperative
period in the presence of extensive intraoral wounds may be desirable.
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Operational Medicine 2001
Health Care in Military Settings
Bureau of Medicine and Surgery
Department of the Navy
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Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
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