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extremely upsetting experience: the trauma of marriage breakdown He had psychotherapy to help him deal with his childhood traumas. 2. SPECIALIZED a severe injury, usually caused by a violent attack or an accident (from Cambridge Advanced Learner39。s Dictionary) 2022/8/15 8 Section 1 Introduction War Incidence Traffic Accident Sports Falling Bustup Labor injury 2022/8/15 10 Traffic Accident 01020304050607080F i n a n c i a l L o s s N o o f I n j u r e d N o o f A c c i d e n t1993199720222022/8/15 11 Combined injury to other viscera Fatal to life Damage to maxillofacial structure Stomatognathic dysfunction Facial esthetic problem Psychological trauma Effect of Trauma on the Human Body 2022/8/15 12 1. Rich blood supply Section 2 Characteristics of OMF Trauma 2022/8/15 13 Debridement Time: 24 – 48 h Tend to hematoma, edema Respiratory tract Asphyxia Ability to antiinfection, regeneration Wound healing 1. Rich blood supply 2022/8/15 14 Cerebral concussion Cerebral contusion Intracranial hematoma Skull base fracture Increase infectious incidence Malocclusion caused Diagnosis Occlusion regained Treatment 2. Relationship btw tooth amp。 OMF trauma 3. Craniocerebral trauma 2022/8/15 15 Mouth opening, mastication, swallowing 4. Cervical trauma 5. Effect on breathing 6. Effect of on digastric system Bleeding Paralysis 癱瘓 Leading difficulty breathing diet worse oral hygiene Asphyxia 窒息 2022/8/15 16 7. Multisinus contamination Infection Oral cavity Nasal cavity Pharyngeal cavity Orbit Paranasal sinus Bacteria Temp Humidity 2022/8/15 17 8. Damage to specific structure Parotid Gland Facial N. Trigeminal N. Salivary fistula Facial paralysis Regional numbness 2022/8/15 18 9. Facial Defect Facial contour Psychological trauma 2022/8/15 19 Evaluate trauma soon Identify the key trauma, manage the fatal first Careful history taking, thorough physical exam Rescue in time Management in order General Rules Section 3 Rescue 2022/8/15 20 1. Prevention of Asph