Maksillofasiyal Travma ve Zor Havayolu Yönetimi: İki Olgu Sunumu

Giriş ve Amaç: Maksillofasiyal travmalı hastalarda bozulan anatomi ve travmaya sekonder gelişen ödem nedeniyle hava yolu yönetimi hızla müdahale edilmesi gereken bir durumdur. Travma hastasının değerlendirilmesinde ve yönetilmesinde öncelikle, hava yolu güvenliği sağlanmalı ve servikal omurga stabilize edilmelidir. Bu yazıda; ateşli silah yaralanması sonucu maksillofasiyal travma gelişen iki olguda uygulanan anestezi yönetiminin literatür eşliğinde tartışılması amaçlandı. Gereç ve Yöntem: Bu çalışmada iki hastanın hastane bilgi sistemindeki kayıtları ve anestezi kayıtları incelendi. Hastaların perioperatif özellikleri, cerrahi endikasyonu, anestezi tekniği ve komplikasyonları kaydedildi. Bulgular ve Sonuç: Maksillofasiyal travmalı hastalar; yüz kemikleri ve yumuşak dokulardaki hasarlanmaya bağlı olarak kısa sürede gelişebilen hava yolu ödemi, kan, pıhtı, yabancı cisim, kırık kemik fragmanları gibi hasarlı doku veya travmaya neden olan ana materyalin hava yolunu kapatabilmesinden kaynaklı aspirasyon riski nedeniyle hızla hava yolunun garantiye alınması gereken özellikli hasta grubudur. Yazımızda ateşli silah yaralanması sonucu maksillofasiyal travma gelişen iki olgudaki hava yolu yönetimini tartışmayı amaçladık.

Anahtar Kelimeler:

Maksillofasiyal yaralanmalar, Hava yolu yönetimi, Travma

Maxillofacial Trauma and Difficult Airway Management: Two Case Reports

Introduction and Aim: Airway management is a condition that requires rapid intervention in patients with maxillofacial trauma due to impaired anatomy and edema secondary to trauma. In the evaluation and management of the trauma patient, airway safety should be ensured and the cervical spine should be stabilized. In this article; It was aimed to discuss the anesthesia management applied in two cases with maxillofacial trauma as a result of gun shot injury, in the light of the literature. Materials and Methods: In this study, records of two patients in the hospital information system and anesthesia records were examined. Perioperative characteristics, indications for surgery, anesthesia technique and complications of the patients were recorded. Results and Conclusion: Patients with maxillofacial trauma; Airway edema, which can develop in a short time due to damage to facial bones and soft tissues, damaged tissue such as blood, clot, foreign body, broken bone fragments, or because of the risk of aspiration due to the main material causing trauma can close the airway, it is a special patient group that needs to be guaranteed the airway quickly. In our article, we aimed to discuss the airway management in two cases with maxillofacial trauma as a result of gun shot injury.

Keywords:

Maxillofacial injuries, Airway management, Trauma,

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