ABSTRACT
Craniofacial injury patterns almost universally result from high-energy transfer and are optimally managed in dedicated trauma centres with a multidisciplinary team including OMFS, Neurosurgery and Ophthalmology. Computed tomography assessment permits accurate visualisation of the fracture patterns in all three planes with three-dimensional reconstructions, aiding the surgeon to develop an operative plan. Dural tears in communication with the nasal cavity and paranasal sinuses are common and place the patient at an increased risk of developing meningitis. The choice of intubation depends on the injury pattern, and ventilation requirements. Nasotracheal intubation allowing restoration of occlusion may need to be converted to an oral tube for nasal manipulation. Dissection progresses to the pre-auricular region below the superior temporal line on the temporal fascia.
