#Maxillofacial injuries

[hopkinrx]

Facial Degloving: Causes, Important Symptoms, Treatment, and Recovery

Facial Degloving: Causes, Important Symptoms, Treatment, and RecoveryIntroductionWhat is Facial Degloving?Causes and Risk FactorsSigns and SymptomsDiagnosis and AssessmentTreatment ApproachesMultidisciplinary ApproachRecovery and RehabilitationPotential ComplicationsLong-Term OutcomesPrevention StrategiesPatient StoriesAdvancements in TreatmentSupport SystemsExpert InsightsConclusionFacial…

[cannondisabledcharacters]

Today’s disabled character of the day is Kelenken Bonkers from The Hunters Guild: Red Hood, who has facial trauma and severe scaring

Requested by Anon

[Image Description: Black and white drawing of a man with a large metal jaw brace. He has short light colored hair. He is wearing a black coat. He has a large scar on his left cheek.]

[mindmushyyyy]

To whatever dentist that decided to shave my canines to match what were mostly baby teeth at the time. Thank you not only do i look slightly stupid but you fucking over did it a smidge , and now im in fucking pain you silly shit. If YOU every see this, i bring shame upon you, shame upon your family, shame upon your dam cow.

[apollodrdodental]

#maxillofacial #maxillofacialsurgery #oralcare #sports #apollohopitalhyderabad #apollodrdodental #kanchanbagh #hyderabad #medipatnam #injury https://www.instagram.com/p/CoT97L1vaGa/?igshid=NGJjMDIxMWI=

[tameraldeebs-blog]

Hello,

I am Tamer Al-Deeb, a Palestinian dentist from Gaza.

[Picture of Tamer before the war in his clinic]

Image

I have hesitated and delayed for a long time to write these words and create an account on GoFundMe, but the need has become very urgent due to what I see of death approaching myself and my family.

To begin our story, it is important to introduce my family, who are the core of my existence and the source of my strength during these turbulent times:

We are a family of four suffering for over 9 months from a brutal war that spares neither humans nor stones.

Mother: The Heart of Our Home

My mother embodies generosity and kindness as a devoted homemaker, always prioritizing her family's well-being. Her unwavering love remains our sanctuary amidst the chaos.

Father: The Pillar of Strength

My father, Majed, a dedicated professor, faced the destruction of the university he served. Despite this, his commitment to education and society remains unshaken.

Brother: A Beacon of Healing

My brother, Mohammad, a compassionate doctor, confronts the challenges of healthcare amidst dwindling supplies and occupation brutality, showcasing remarkable dedication to healing.

Tamer: A Dream Deferred

As for myself, Tamer, I was on the verge of a new beginning, with aspirations to further my career in Germany. I had saved thousands of dollars for the mandatory block account to support my stay abroad. However, the conflict has not only shattered my professional dreams but also consumed what didn't burn of my savings, compelling me to fight for my family's survival amidst the escalating costs of basic human necessities.

[Picture of the family before the war]

I have lost the lives of my dearest friends, neighbors, and much of what I loved.

We have lost our home with all its dreams and memories. A five-floor house completely leveled to the ground!!

[Pictures of the destroyed house]

I lost my clinic, my only source of livelihood.

[picture of the clinic]

My neighborhood .

[picture of the destroyed neighborhood]

Since the beginning of the war, we were forced to flee our home in the north of the Gaza Strip to the supposed safe area in the south. But unfortunately, this was just the beginning. We have been displaced four times in the same southern area, fleeing from death always surrounding us.

Initially, we fled to a school belonging to the UNRWA in the Nuseirat camp until we were forced to move to another area, and the Maghazi camp was the intended destination. Then a UNRWA school, where we were residing in a tent inside, was targeted, killing 7 civilians. We were forced to flee again to a tent in Rafah, but the scarcity of clean water and the spread of epidemics and diseases forced us to flee again to a UNRWA school in the Deir Al-Balah area until now.

UNRWA has been providing refuge to hundreds of displaced families for the past six months at schools that have become vital community hubs, offering shelter to thousands of individuals trapped in the southern region.

Women and children sleep inside classrooms, and the men sleep outside in tents set up in the courtyard. Rainstorms recently have flooded our tents, and it's very difficult to take care of our basic needs.

[Pictures of Tamer after the war in the UNRWA school and his tent]

I am currently volunteering at Al-Aqsa Hospital, assisting in the maxillofacial surgery department. However, a sense of helplessness and despair often overwhelms me. It's hard to put into words the horrors and injuries I witness daily. Surrounded by the shroud of death and the cries of the wounded, I feel powerless. "I want to save you, I want you to live," I often think, "I will do everything in my power to make it happen!" Sadly, many times, they become part of the countless casualties from my homeland. The shortages in food, water, and medical supplies are dire, to the extent that we sometimes perform surgeries without anesthesia. The suffering is unimaginable.

Now we hope to escape death, we hope for the end of the war, we hope to leave the Gaza Strip, and we hope to live a decent life away from bombing, occupation, and destruction.

It has been 9 months of hell and horror. This genocide has been too long to bear, and our mental health and lives are in constant danger. (I can’t describe enough what I have been dealing with daily in the hospitals for the past days. We have reached a point where there is no hope left for us here in Gaza, where we are unfortunately just waiting for our turn to die, and even if there is a ceasefire, the destruction in Gaza is beyond prompt repair

Evacuation fees are expensive, especially now that I have no source of income. Once we can evacuate, your donations will cover our travel expenses and help us get immediate support in Egypt. There will be meal expenses, wardrobe expenses, emergency expenses, etc., but no generous contribution will go to waste.

To cross the “Rafah” Gaza-Egypt Borders, you need to have your name listed in the Crossing List (paid permit), and coordinators in Egypt who have the power to add my family’s names to the list at the border are now asking for anywhere from $6-8,000 per PERSON! They will not add the names until we can prove we have the money ready.

I ask for your help because this is not just my battle alone, but a battle in which we seek your helping hand to survive and preserve our families. Any donation, big or small, will have a huge impact on the lives of my family and me. I am grateful to everyone who donates, and I will remain grateful forever for giving hope and opportunity to me and my family to survive and build a better future.

Thank you for reading my story. For sharing my story with your friends and family. I hope, there is a ceasefire, and we can get the rest and safety we deserve to build our lives all over again. ❤️

Tamer Al-Deeb

@communistchilchuck 🫶🇵🇸

@nabulsi 🫶🇵🇸

@sar-soor 🫶🇵🇸

@fallahifag 🫶🇵🇸

@plomegranate 🫶🇵🇸

@ibtisam 🫶🇵🇸

@fairuzfan 🫶🇵🇸

@vakarians-babe 🫶🇵🇸

@palestinegenocide 🫶🇵🇸

[mostlysignssomeportents]

You can’t shop your way out of a monopoly

I'm on tour with my new, nationally bestselling novel The Bezzle! Catch me in TUCSON (Mar 9-10), then SAN FRANCISCO (Mar 13), Anaheim, and more!

If you're running a business, you can either invest at being good at your business, or good at Google SEO. Choose the former and your customers will love you – but they won't be able to find you, thanks to the people who choose the latter. And if you're going to invest in top-notch SEO, why bother investing in quality at all?

For more than a decade, Google has promised that it would do something about "lead gens" – services that spoof Google into thinking that they are local businesses, pushing down legit firms on both regular search and Google Maps (these downranked businesses invested in quality, not SEO, remember). Search for a roofer, a plumber, an electrician, or a locksmith (especially a locksmith), and most or all of the results will be lead-gens. They'll take your call, pretend to be a local business, and then call up some half-qualified bozo to come out and charge you four times the going rate for substandard work:

https://www.nytimes.com/2016/01/31/business/fake-online-locksmiths-may-be-out-to-pick-your-pocket-too.html

Some of them just take your money and they "go back to the shop for a tool" and never return:

https://www.riverfronttimes.com/news/when-a-fake-business-used-a-real-st-louis-address-things-got-weird-32087998

Google has been promising to fix this since the late aughts, and to be fair, it's a little better. There was once a time when a map of Manhattan showed more locksmiths than taxis:

https://blumenthals.com/blog/2009/02/18/google-maps-proves-more-locksmiths-in-nyc-than-cabs/

But GMaps is trapped in the enshittification squeeze. On the one hand, the company wants to provide a good and reliable map. On the other hand, the company makes money selling "ads" that are actually payola, where a business can pay to get to the top of the listings or get displayed on the map itself. Zoom out of Google's map of central London and the highlighted landmarks are a hilarious mix of "organic" and paid listings: the British Museum, Buckingham Palace, the Barbican, the London Eye…and a random oral and maxillofacial clinic in the financial district:

https://twitter.com/dylanbeattie/status/1764711667663831455

Hell of a job "organizing the world's information and making it universally accessible and useful," Big G. Doubtless the average Londoner finds the presence of this clinic super helpful in orienting themselves relative to the map on their phone screens, and it's a real service to tourists hoping to hit all the major landmarks.

It's not just Maps users who'd noticed the rampant enshittification. Even the original design team is so horrified they're moved to speak out about the moral injury they experience seeing the product they worked so hard on turned into a giant pile of shit:

https://twitter.com/elizlaraki/status/1727351922254852182

Now, when it comes to locksmiths, I'm lucky. My neighborhood in Burbank includes the wonderful Golden State Lock and Safe, which has been in business since 1942:

https://www.goldenstatelock.com/

But you wouldn't know it from searching GMaps for a locksmith near me. That search turns up a long list of scams:

https://www.google.com/maps/search/locksmith/@34.1750451,-118.369948,14z/data=!3m1!4b1?entry=ttu

It also turns up plenty of Keyme machines – these are private-equity backed, self-serve key-cutting machines placed in grocery stores. Despite Keyme calling itself a "locksmith," it's just a badly secured, overcaptilized, enshittification-bound system for collecting and retaining shapefiles for the keys to millions of homes, cross-referenced with billing information that will make it easy for the eventual hackers to mass-produce keys for all those poor suckers' houses.

(Hilariously, Keyme claims to be an "AI" company):

https://www.businesswire.com/news/home/20200114005194/en/KeyMe-Raises-35-Million-to-Further-Its-Mission-of-Building-the-Premier-Locksmith-Services-Company-in-the-Nation

But despite the fact that you can literally see the Golden State storefront from Google Streetview, Google Maps claims to have no knowledge of it. Instead, Streetview labels Golden State "Keyme" – and displays a preview showing a locksmith using a tool to break into a jeep (I'd dearly love to know how the gadget next to the Slurpee machine at the 7-Eleven will drive itself to your jeep and unlock the door for you when you lose your keys):

https://www.google.com/maps/place/KeyMe+Locksmiths/@34.1752624,-118.3487531,3a,75y,350.19h,90.21t/data=!3m6!1e1!3m4!1ssHrtqjqvgFir3NBauMy13Q!2e0!7i16384!8i8192!4m15!1m8!3m7!1s0x80c2959cd65dbb1b:0x4b3744cf87492a71!2sBurbank+Blvd+%26+N+Hollywood+Way,+Burbank,+CA+91505!3b1!8m2!3d34.1750025!4d-118.3493484!16s%2Fg%2F11f37_3lq8!3m5!1s0x80c2951cedbf4d39:0xe8ff9fd5872e66e9!8m2!3d34.1755176!4d-118.349!16s%2Fg%2F11mw7nr4fx?entry=ttu

It's pretty clear to me what's going on here. Keyme has hired some SEO creeps and/or paid off Google, flooding the zone with listings for its machines. Meanwhile, Golden State, being merely good at locksmithing, has lost the SEO wars. Perhaps Golden State could shift some of its emphasis from being good at locksmithing in order to get better at SEO, but this is a race that will always be won by the firm that puts the most into SEO, which will always be the firm that puts the least into quality.

Whenever I write about this stuff, people inevitably ask me which search engine they should use, if not Google?

And there's the rub.

Google used predatory pricing and anticompetitive mergers to acquire a 90% search market-share. The company spends more than $26b/year buying default position in every place where you might possibly encounter a new search engine. This created the "kill zone" – the VC's term of art for businesses that no one will invest in, because Google makes sure that no one will ever find out it exists:

https://www.theverge.com/23802382/search-engine-google-neeva-android

That's why the only serious competitor to Google is Bing, another Big Tech company (Bing is also the primary source of results on Duckduckgo, which is why DDG sometimes makes exceptions for Microsoft's privacy-invading tracking):

https://en.wikipedia.org/wiki/DuckDuckGo#Controversies

Google tells us that the quid-pro-quo of search monopolization is search excellence. The hundreds of billions it makes every year through monopoly control gives it the resources it needs to fight spammers and maintain search result quality. Anyone who's paid attention recently knows that this is bullshit: Google search quality is in free-fall, across all its products:

https://downloads.webis.de/publications/papers/bevendorff_2024a.pdf

But Google doesn't seem to think it has a problem. Rather than devoting all its available resources to fighting botshit, spam and scams, the company set $80 billion dollars alight last year with a stock buyback that was swiftly followed with 12,000 layoffs, followed by multiple subsequent rounds of layoffs:

https://pluralistic.net/2024/02/21/im-feeling-unlucky/#not-up-to-the-task

The scams that slip through Google's cracks are sometimes nefarious, but just as often they're decidedly amateurish, the kind of thing that Google could fix by throwing money at the problem, say, to validate that new ads for confirmed Google merchants come from the merchant's registered email addresses and go to the merchant's registered website:

https://pluralistic.net/2023/02/24/passive-income/#swiss-cheese-security

Search is a capital intensive business, and there are real returns to scale, as the UK Competition and Market Authority's excellent 2020 study describes:

https://assets.publishing.service.gov.uk/media/5fe4957c8fa8f56aeff87c12/Appendix_I_-_search_quality_v.3_WEB_.pdf

But Google doesn't seem to think that its search needs that $80 billion to fight the spamwars. That's the thing about monopolists, they get complacent. As Lily Tomlin's "Ernestine the AT&T operator" used to say, "We don't care, we don't have to, we're the phone company."

That's why I'm so excited about the DOJ Antitrust Division monopolization case against Google. Trusting one company to "organize the world's information and make it universally accessible and useful," was a failure:

https://www.justice.gov/opa/pr/justice-department-sues-google-monopolizing-digital-advertising-technologies

I understand why people want to know which search engine they should use instead of Google, and I get why, "There aren't any good search engines" is such an unsatisfactory answer. I understand why each fresh round of printer-company fuckery prompts people to ask "which printer should I get?" and I understand why "There are only six major printer companies and they're all suffering from end-stage enshittification" isn't what anyone wants to hear.

We want to be able to vote with our wallets, because it's so much faster and more convenient than voting with our ballots. But the vote-with-your-wallet election is rigged for the people with the thickest wallets. Try as hard as you'd like, you just can't shop your way out of a monopoly – that's like trying to recycle your way out of the climate emergency. Systemic problems need systemic solutions – not individual ones.

That's why the new antitrust matters so much. The answer to monopolies is to break up companies, block and unwind mergers, ban deceptive and unfair conduct. "Caveat emptor" is the scammer's motto. You shouldn't have to be an expert on lead gen scams to hire a locksmith without getting ripped off.

There are good products and services out there. Earlier this year, we decided to install a (non-networked) programmable pushbutton lock. I asked Deviant Ollam – whom I know from Defcon's Lockpicking Village – for a recommendation and he suggested the Schlage FE595:

https://www.schlage.com/en/home/products/FE595PLYFFFFLA.html

I liked it so much I bought another one for my office door. Eric from Golden State Lock and Safe installed it while I wrote this blog-post. It's great. I recommend both of 'em – 10/10, would do business again.

Name your price for 18 of my DRM-free ebooks and support the Electronic Frontier Foundation with the Humble Cory Doctorow Bundle.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/03/05/the-map-is-not-the-territory/#vapor-locksmith

Image: alicia rae (modified) https://commons.wikimedia.org/wiki/File:Kehole_Red.jpg

CC BY 2.0 https://creativecommons.org/licenses/by-sa/2.0/deed.en

--

Budhiargomiko (modified) https://commons.wikimedia.org/wiki/File:Wasteland.jpg

CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en

[texasdreamer01]

Atlantis Expedition: Science Division Departments - Medical Department

Continuing from my starting post here, I'm now breaking things down by department, beginning with the Medical Department.

I did end up heavily revising this department after the commentary on the general departments post, and also after a lot of looking up of the actual divisions of medical specialties. So, first, the (new) numbers:

> Head: Carson Beckett (later, Jennifer Keller, later, whomever) > Contains: Surgery, psychiatry, physical therapy > Function: Maintaining health of expedition members > Examples of function: surgeries, medical prescriptions, recuperation from injuries, mental stability > Personnel quantity: 1 (Head) + 10 (surgical team) + 5 10 (nurses non-surgical team) + 1 (psych) + 1 (phys. therapy) + 1 (anesthesiologist) (grouped under non-surgical team) = 19 23 total > A/N: Nurses have training in medications and physical therapy, surgical team also doubles as general practitioners

Information carried over from the first post, with struck text indicating revisions. The new total is 23, and the author's note is now irrelevant in light of new information. Mostly.

After doubling the amount of nurses, realizing "nurse" is a very broad category of medical professional with multiple definitions and aspects of job duties in multiple countries, I did a bit of renaming of the teams within this department: surgical, non-surgical, and miscellaneous (sorry guys).

Something I had realized was that this was not going to be a typical medical department (duh, in hindsight). These people are all going through the SGC, and the SGC quite likely not already has their own training protocols in place for dealing with SGC-specific situations, but also adapted technology from Goa'uld tech. What is Goa'uld tech? Appropriated Ancient tech, but without the gene component - fascinating, but also a post for another time.

This did inform how I revised which personnel to include, their specialties, and their duties. You're not exactly going to be shoving a whole MRI machine through a gate, so a radiologist isn't going to be a necessary specialty. Because of this, there's going to be a lot more cross-training, and more of a focus that's similar to what Atlantis would actually operate as: a forward operating base.

So, on to the teams (commentary included).

Surgical Team

> Personnel quantity: 10 > Minimum education: Doctorate in Surgery (ChM) > All of these people are already trained in basic medical knowledge and practices, and also overall surgical practices in different areas of the body

Specialties

> Neurosurgery > Dentistry | Oral and maxillofacial surgery  » In the US, trained to do general anesthesia and deep sedation > Orthopedics  » Musculoskeletal > Trauma surgery  » Can contain combat surgeons  » 2x of these > OBGYN > Urology > Cardiothoracic  » 2x of these, by speciality:   ⇛ Cardiovascular surgeon    ⟹ "involving the heart and the great vessels"   ⇛ Thoracic surgeon    ⟹ involving the lungs, esophagus, thymus, etc. > Surgical technologist  » "In the military they perform the duties of both the circulator and the scrub."  » Creates and maintains a sterile surgical environment  » Anticipates the work a surgeon needs to do  » Walking compendium of surgical techniques and stitches

I had wavered a bit on qualifications, and thus who to include - at the end of the day, it was probably going to be on an American standard, given the physical location of SGC. This meant I got to do a nifty thing of having my oral/maxillofacial surgeon be the dentist that's also an anesthesiologist, even if this is apparently considered odd in many other countries.

Mostly I wanted to go by section of the body, and see what kind of specialties there were, and what did and did not overlap. Surprisingly, it was more difficult to figure out who did abdominal surgeries than it was neurosurgery or dental surgery, hence two people in cardiothoracic surgery and two "general" surgeons in the form of trauma surgery because, again, forward operating base - they have no idea what Atlantis will be, so some assumptions will need to be made and better to err on the side of caution.

In a more delicate but still very necessary subject, one OBGYN (obstetrics and gynecology) and one urologist (aka urinary system and male reproductive system). For various obvious reasons, everyone's health in this area still needs to be taken care of, so it's better to have them on the team than politely handwave the idea.

Neurosurgery, for an obvious reason - it's highly specialized and without significant overlap, while also being a critical function on a surgical team with the demands the Atlantis Expedition will likely face.

Orthopedics are musculoskeletal, or deals with muscles and the skeletal system. A fair amount of what they do has overlap (see: trauma surgeons), but having someone specialized for the particularities of setting bones and handling surgeries on things like the joints is incredibly useful when presuming setting up camp in an active combat zone (which they really, really did).

Trauma surgeons are, more or less, the ones that you would see in an emergency situation - acute situations and their injuries are their specialty, and for this expedition likely the head of the surgical team by dint of their training to assess a patient quickly and develop a care plan very quickly. Because of this, I found the overlap of combat surgeons immensely helpful, which means that there's a significant probability that this surgical team has military personnel assigned to it. These surgeons are also the ones most likely to be SGC-imported, and trained to deal with things like injuries from Goa'uld and Goa'uld devices.

All these very highly-trained people, who are all probably very, very smart - who supports them? As it turns out, at least in the operating theater, not the nurses, but surgical technologists.

Surgical technologists main job, at least here, would be to set up the operating theater and anticipate whatever it is a surgeon needs in assistance. This includes things like training on a wide variety of surgical techniques (i.e. stitches), disinfection procedures, and medications such as anesthesia (ish). I included the quote about military duties because it saves money on how many people to include in the expedition, and penny-pinching is the backbone of any hiring process.

Now, the surgical team is all done! That's ten people right there, and on to the non-surgical team.

Non-Surgical Team

> Personnel quantity: 10  » 5 Technicians/Nurses, 5 Non-Surgical Medical Specialists

Nurses

> (Advanced Practice) Nurses  » 5x of these  » Registered Nurse   ⇛ As the general minimum educational and experimental requirement  » Perioperative nursing   ⇛ Assists surgical team, helps with pre- and post-surgical patients  » Emergency nursing   ⇛ Can do triaging, suturing, casting/splinting, local/regional anesthesia, and other doctoral skills as needed   ⇛ Likely the SGC training model incorporates all of the above, and also training on medical technology adapted from Goa'uld healing technology (which is really Ancient but without the ATA gene lock)    ⟹ Radiology tech    ⟹ MRI tech (which is radiology but a bit to the left)    ⟹ Other adapted diagnostic equipment

Non-Surgical Medical Specialists

> Pathology  » 2x of these  » Coordinates with Life Science Department to develop diagnoses for novel diseases (in the Pegasus galaxy) > Internal medicine | Internists  » 2x of these > Anesthesiology  » For everything the OMS people don't do in terms of anesthesiology  » See also: Anesthesia (topic)

Remember how I said the qualifications were a doozy, and that nurses were a broad category? ... Yeah, this is why. The medical field is probably current in flux right now, given the shifting priorities of medical personnel and so much research that is still in the process of being applied, but I waved my magic plot-fixing wand and assumed the SGC figured this out for me.

All of these nurses are likely to be SGC imports, and thus unbelievably well-trained in everything that the SGC needs them to do. These are the personnel who know how all of the Goa'uld tech works on a functional level, have gotten the goodies first from engineering, and are waving their handheld MRI and other diagnostic equipment over their patients like a fairy godmother in scrubs. As with a real world hospital, these are the people actually running the show, and likely making the surgical team look like hypercompetent show poodles.

As for non-nurses who are also non-surgeons, pathologists are the ones who work up what people will actually be diagnosed with, figuring out all the newest and shiniest diseases and cataloguing them for reference. Doctor Biro is a pathologist, for example.

The thought occurred to me that we still need something resembling a general practitioner, but in light of fancy things like handheld MRIs and other scanners, this role is much reduced in favor of people who pack a greater intellectual punch.

However, I found that internists not only fill this gap, but are also hyper-specialized in their own way, in the respect of their knowledge base being internal diseases and multi-system diseases. Ergo, two of them, because they're just that useful. They'd probably coordinate quite a bit with cardiothoracic surgeons, as those are overlapping areas of study based on region of the body.

One (1) anesthesiologist, because the OMS cannot - nor should they - be the only person to perform anesthesia. This person functions as a sanity checker, and also the thin margin of the anesthesia that the surgeon doesn't cover.

We still need to round out this department, though. So far I've managed to cover in-patient, out-patient, and the various surgical stages. What else?

Well, recuperation - patients can't actually linger in the infirmary for the entirety of their healing process, for such practical reasons as beds available and boredom of patient, so the transitional phase needs to be covered.

Hence, the highly uncreative placeholder section name of Miscellaneous:

> Psychiatrist  » 1x of these, because canon says so? > Physical therapist  » 1x of these, because canon says so?

Now while personnel such as nurses and internists are meant to convey educational material and instructions to patients about recuperation, it helps to actually have specialists on hand to make the patients commit to the bit.

Having only one psychiatrist on hand seems a bit of a Star Trek logical fallacy, but I'm once again waving my plot wand and assuming anyone that managed to get through the arduous employment process of 1) being told the Stargate exists (and coping with their world views being upended), 2) being employed by the SGC in general, and 3) passes their psychological assessment is probably mentally stable enough to only need one psychiatrist for the entire expedition.

(Yes, this does mean everyone on the expedition got their rubber stamp of sanity, and probably in grueling triplicate. Such as it can be defined a fanfiction-like world of scifi. I think they're coping pretty well with everything, no?)

With all the work that the surgical and non-surgical teams put into taking care of injured expedition members, a physical therapist is, as with everyone else here, very good at their job, but ultimately one of the last steps for patients that require longer term care. Think gaining back muscle after a broken leg, or more serious injuries that require months of guided exercise to be back to gate team-ready health (or general running for your life because Atlantis is just as dangerous).

Total Medical Department Personnel

Head of Department: 1

Surgical Team: 10

Non-Surgical Team: 10

Miscellaneous: 2

Total total: 23

I'll be going over headcanons on canonical personnel, such as Carson Beckett, Jennifer Keller, and Biro in their own posts, but for now this is a general accounting of the expedition's medical department.

Shout-out to @savestave and @stinalotte for the discussion and feedback on the original post!

[whumpy-daydreams]

Types of surgery

Masterlist

So... you want to know about surgery. Well buckle in folks because this is just the first in an eleven part series. Enough of the humour though let's get medical. I've split this into 'categories', or how soon do you need this; and 'specialties', or what needs fixing

Categories of surgery

Elective - this is planned ahead of time, and isn't very time sensitive. also the majority of surgeries

Expedited - not life threatening but should be done asap. Includes tendon and nerve injures, some minor bone fixes, some stents and eye stuff

Urgent - needs to be done within a few hours to prevent loss of function/life. Fixing badly broken bones, perforated bowels, eye injuries, D&C (dilation and curetting)

Emergency - needs to be done immediately with threat to life or organs/limbs. Haemorrhage (loads of bleeding internally or externally), burst appendix, ruptured cancers, emergency c-sections

This is not a complete list of surgeries, and amputation can be any of these categories

There may also be extra categories at different hospitals that specify actual times. Emergency c-sections have time limits, with the most urgent needing to be started within an hour.

Surgical Specialties

Breast - pretty obvious, it's boob surgery and it's harder than you think (part of general surgery)

Cardiothoracic - treats the heart, lungs and airway, usually long surgeries with lots of equipment

Ear, nose, throat (ENT) - think tonsils, think deviated septum. I hate it. It smells bad.

Endocrine - if it's got gland in the name you're good. Think thyroid, pancreas, adrenal etc. (part of general surgery)

Gastrointestinal - deals with the stomach, intestines, colon, and rectum (part of general surgery)

Gynecology and obstetrics - treats the uterus and related reproductive organs (no penises here sorry). It can smell a little bad but not as bad as ENT

Neurosurgery - zombies love it but they got their medical licence revoked. Yep it's brain time baby (and the spinal cord but who cares about that). Known for being difficult and long

Oral and maxillofacial (maxfax) - mouth and face (not to be confused with plastic surgery, though they get involved), bones, teeth and soft tissue of the face as long as it's not ear, nose or throat.

Other general stuff - kidneys, liver, pancreas, gallbladder and random things in the abdomen

Plastic - reconstructing things. It's not always cosmetic, they make a big difference to trauma patients and also do cleft palate. Absolute perfectionists so prepare to be there for ages

Trauma and orthopaedic - bones and joints like fixing broken bones, carpal tunnels, and joint replacements. This is my favourite speciality because I think the surgeons are funnier and I like hammers

Urology - all the penises! And testicles and related reproductive system. Usually amab patients but they do treat afab patients too - everyone has a bladder

Vascular - blood tubes and lymphatic system (don't ask me to explain it please I beg you), can be really long surgeries and is usually done under a microscope

And I'm done (for now)

[astridblogs]

Continuity and Change in Plastic Surgery

Plastic surgery has had many different connotations throughout the years. In its early stages it was seen more as to fix defects and amputations. In today's times, it is seen as a luxury. The changes plastic surgery has endured have been many and now serves multiple purposes.

Ancient Rome

The very beginning of plastic surgery began in ancient Rome in 1 BC. Since Romans would constantly be at war, they needed surgeries for amputations and wounds that cannot be self-healed. They would normally conduct surgical procedures on gladiators who had their noses and ears amputated. During this time, ancient Romans had different views and beliefs and would therefore conduct surgeries to supposedly correct them. In this time they mainly focused on circumcision removals. An encyclopedist named Aulus Conrelius Celsus would further explain this surgery and others such as breast reductions and a blepharoplasty (excess skin removed from the eyes) in a text named 'De re medicina'.[1].

Fathers of Plastic Surgery

The advancements in plastic surgery developed in India around 800 BC. A physician named Sushruta had explored the causes of more than 1,100 diseases, used plants for medicine, and conducted plenty of surgical procedures such as the "Indian Method"[2], also known as the forehead flap rhinoplasty. In this surgery, Sushruta would use the tissues from the forehead and used them for nose reconstruction. He used more than 125 surgical tools to conduct the forehead flap rhinoplasty which included "dilators, catheters, and syringes"[3]. The forehead flap rhinoplasties were common because many would lose their nose due to penalization of crimes such as theft from India. Sushruta helped fix the nasal problems people had and carried on to do other procedures such as lobuloplasties and otoplasties.

Here is Sushruta conducting a surgery on one of his patients

Fast foward to the 1500s, another "father of plastic surgery" arose [4]. He was an Italian man named Gaspare Tagliacozzi. He established the "Italian Method" in rhinoplasties which was him cutting a flap of skin from the bicep and fully removing it and adding it onto the nose.

In this photo it shows Gaspare Tagliacozzi's method of rhinoplasties.

These two plastic surgery pioneers had similar methods of removal and used it to develop a practice that would change the field of surgery.

Plastic Surgery's Impact on War

During times of war, many soldiers lose fingers, noses, ears, lips, and so many more features due to artillery. Fortunately, plastic surgery helps those soldiers better or even fully heal the wounds they have. The reconstruction of body parts has helped veterans be themselves again and do tasks they were not able to preform before.

World War I

Around the early 19th century, World War I broke out. Over 21 million soldiers were wounded by things such as machine guns and trench warfare and most needed surgery in order to live. The sudden emergence of plastic surgery arose when veterans were needing facial reconstruction such as for their jaw injuries that would not let them eat or drink. A doctor named Harold Gillies was the first to experiment with plastic surgery during the war on his patients in his hospital, The Queen's Hospital. Dr. Gillies began to test out "...basic skin and bone grafts in his attempts to repair the shattered jaws of soldiers who had taken bullets or shrapnel to their faces"[5]. Gillies curiosity of plastic surgery further progressed when he observed Hippolyte Morestin, a maxillofacial surgeon, and began to focus on the entire face rather than the jaw. His first major surgery was on a man named Walter Yeo, a sailor that was wounded while fighting Battle of Jutland. Gillies normalized facial surgeries among the medical world because of this war and because of him plastic surgery became a frequent practice for veterans in need.

Here in these pictures Yeo had gotten a flap surgery and a skin transplant.

World War II

Because of the positive impact plastic surgery had on veterans in WWI, it was used and developed more in World War II (WWII). Doctors had to quickly adjust to new surgeries that help correct disfigured burns. One doctor in particular named Dr. Archibald McIndoe was the Harold Gillies of this war who helped many of his patients, also known as the "Guinea Pig Club" [6],repair the severe injuries. However, it wasn't the technique of his surgery that made him a remarkable doctor, it was his form of talking to his patients. Dr. Mclndoe would try to uplift his patient's self esteem by telling them their alterations do not make them any less of a person and would bring 'showgirls' [7] to have conversations with them to make them feel confident. Not only were faces repaired, but so were eyes. At Valley Forge Hospital, they started to develop artificial eyes. These eyes were made up of acrylic which look highly realistic. This helped veterans have their old face and confidence back.

After using plastic surgery for necessary and urgent injuries, the practice began to expand into unnecessary uses. After WWII, Japan escorts began to inject silicone straight into their breasts. After this event, many others began to use plastic surgery for luxury reasons and needless body modifications.

The Era of Real Plastic

After using plastic surgery for defects and injuries, it began to expand into further developments. With the help of silicone, people began to use them for selfish needs. The first silicone implant was invented by Thomas Cronin in 1962 and was used for a breast augmentation on Timmie Jean Lindsey in 1964. This surgery added a whole new meaning towards the words "plastic surgery" and began to spread like wildfire. Celebrities and the rich began to use these surgeries to better their appearance in order to stay famous or to just have more confidence. The new connotation of plastic surgery made lavishness resonate with the medical world and established a very successful industry.

Throughout the late 20th and early 21st century, Micheal Jackson has been getting aesthetic surgical procedures to his nose. He has denied most allegations about facial surgeries, but has admitted to 2 rhinoplasties [10]

Present Day Surgeries

Today, the image people think of when plastic surgery is mentioned are mostly vain procedures such as Brazilian Butt Lifts, rhinoplasties, breast implants, lip fillers, etc. Plastic surgery began to be normalized for body or alterations so much that now "...around 1.6 million [plastic surgery] procedures in 1997 to over 5.5 million in 2020 [in the past decade]"[8]. Most singers, actors, and even models have been under the knife to keep their appearance or to appear more exotic. To go more into depth, Bella Hadid has had surgical procedures such as a rhinoplasty at 14 [9]. The common appearance of celebrities with plastic surgery influenced more classes to get into it. For example, the middle class became involved in small operations and are now common to be seen doing non-surgical procedures such as botox. Although plastic surgery is still meant to help correct defects and injuries, the connotation and flashes people get when plastic surgery is mentioned has changed and is now seen as something lush most get.

In this before and after picture of Bella Hadid, you could notice the change of her nose due to a rounder tip, a smoother nose bridge, and an overall thinner nose.

The Influence of Plastic Surgery

As more and more surgical procedures were used and documented by ancient Egyptians, 16th century Italians, and wars, the procedures began to be used globally. Many countries began to use the surgical knowledge and further develop it to treat other injuries and needs. This industry has positively helped alter the lives of many and has made a forever impact one's confidence. Today, there are more than 15 million plastic surgeries which are now fully sanitary, handled by professionals, and most importantly, a safe procedure.

[1]: https://www.capegazette.com/node/69868

[2]https://journals.lww.com/annalsplasticsurgery/Abstract/2014/07000/Sushruta__Father_of_Plastic_Surgery.2.aspx#:~:text=Because%20of%20his%20seminal%20contributions,method.%E2%80%9D%20He%20was%20born%20sometime

[3]: (https://pubmed.ncbi.nlm.nih.gov/23133066/)

[4]: https://www.kirbyplasticsurgery.com/blog/plastic-surgery-history-wartime/

[5]: https://www.warhistoryonline.com/history/the-origin-of-plastic-surgery.html?safari=1

[6]: https://www.kirbyplasticsurgery.com/blog/plastic-surgery-history-wartime/

[7]: https://www.kirbyplasticsurgery.com/blog/plastic-surgery-history-wartime/

[8]: https://www.statista.com/topics/3734/cosmetic-surgery/

[9]: https://www.elle.com/uk/life-and-culture/culture/a39438874/bella-hadid-admits-to-the-surgery-she-had-at-14-including-a-nose-job/

[10]: https://abcnews.go.com/2020/MichaelJackson/story?id=7982236&page=1

[miramimiart]

maxillofacial avulsion is my favourite type of injury

dont search it up

[coulsonlives]

Have an escooter? Please consider wearing a downhill helmet to protect your face

As someone whose relatives have escooters, and someone who has seen a lot of close calls with strangers, I wanna share a little-known bit of advice for anyone who's looking into escooters, or who already has one:

If you're on an escooter, you get the most protection by wearing a downhill or full-face helmet!

DO NOT GO HELMET-LESS!

By 'downhill' or 'full face', I mean the helmets that bmx riders use, or motorcycle riders wear, respectively. It sounds like overkill but here's the thing:

Escooters have a very high center of gravity because you're upright on them, and they have small wheels that don't absorb impact very well. It's super easy to go over your handle bars if you even hit a tiny pothole! According to this study where 212 patients presented to an emergency room, 11.8% of the patients had dental injuries

A lot of these patients presented with facial lacerations and facial fractures. Overall, 44% of patients needed surgery (5.9% needed major surgery and 38.2% needed minor surgery), and 50% needed maxillofacial follow-up

All 212 patients in this study received a head or face injury. 82% of patients didn't wear a helmet

Some more articles explaining dental injuries from escooter use:

Dental injuries on the rise thanks to e-scooter use

New study from U of A professor warns of dangers of scooter usage

In this Korean study, most patients without a helmet suffered some kind of facial trauma

This isn't just a matter of speed, either. If you're not convinced how often people go over the handlebars at lower speeds too, check out the first 25 seconds of this video by Electric Scooter Guide. That's a lot of faceplants at lower speeds! Or if you want a full playlist of people going over their handlebars, I've got you covered. Again see how many of them are faceplants!

And at higher speeds? It's not good. MAJOR TRIGGER WARNING for gore and death: here you will find a graphic picture of someone who was in an escooter accident, they weren't wearing a helmet and they sadly lost their life

I'll link some reddit posts of close calls where the posters were really glad to be wearing downhill/full face helmets, these are either text-only posts, or simple pics of scratched-up helmets: 1 2 3

Most of these accidents don't even involve other people or vehicles! According to this infographic, 80.2% of escooter accidents are 'falls':

So, now what?

If you don't currently have a helmet and are considering getting one, yay! Your first impulse might be to go out and buy a regular bicycle helmet, but remember: a lot of these injuries happen around your jaw and the front of your face! A bicycle helmet doesn't protect that part! When you fall on an escooter, you're likely to fall in ways that are different from a fall on a bike. So consider a downhill helmet (or a full-face, if you wanna channel your inner motorhead)!

Yeah you'll look dorky, but you'll get home in one piece if you get unlucky on the way there 👍

[ingeniousscribblers]

Unmasking Degloved Faces

Facial trauma is a term that refers to any physical injury to the face, particularly the structures of the head and neck region. This type of trauma can result in severe facial disfigurement, including degloving injuries. Understanding the causes, management, and rehabilitation of degloved faces is crucial in providing appropriate care and support for affected individuals.

Facial trauma can occur due to various reasons, including:

Motor vehicle accidents

Workplace accidents

Sports injuries

Physical assaults

Accidental falls

These incidents can lead to the separation of the skin, soft tissues, and underlying structures from the facial bones. This degloving injury is often associated with significant damage to blood vessels, nerves, and facial function. The severity of the trauma can range from minor lacerations to extensive facial fractures.

Facial reconstruction surgeries

Facial reconstruction surgeries play a vital role in the management of degloved faces. The primary goals of these surgical procedures are to restore facial form and function, improve aesthetics, and enhance the patient's quality of life. The specific surgical techniques employed depend on the extent and nature of the facial trauma.

Some common facial reconstruction surgeries include:

Skin grafting: In cases where there is a loss of skin due to degloving, a skin graft may be performed. This involves taking healthy skin from another part of the body (donor site) and transplanting it onto the affected area.

Soft tissue reconstruction: Degloved faces often require reconstruction of soft tissues, including muscles, tendons, and blood vessels. Techniques such as tissue flaps, microvascular surgery, and facial reanimation procedures may be utilized.

Orthognathic surgery: Severe facial trauma can result in misalignment of the jaws. Orthognathic surgery aims to correct these skeletal deformities, improving function and facial aesthetics.

Maxillofacial implants: In cases where there is significant bone loss, maxillofacial implants may be used to restore facial symmetry and provide support for other facial structures.

Reconstructive rhinoplasty: Injury to the nose can cause functional and aesthetic problems. Reconstructive rhinoplasty can address these issues, improving breathing and restoring the natural appearance of the nose.

It is important to note that facial reconstruction surgeries are highly complex and require the expertise of a multidisciplinary team of healthcare professionals. Surgeons, plastic surgeons, oral and maxillofacial surgeons, and other specialists collaborate closely to develop comprehensive treatment plans tailored to each patient's unique needs.

Post-surgical rehabilitation

Rehabilitation plays a critical role in the overall management of degloved faces. It is aimed at maximizing functional recovery, promoting psychological well-being, and facilitating the reintegration of patients into their daily lives.

The rehabilitation process may involve:

Physical therapy: Physical therapists work with patients to restore muscle strength, flexibility, and range of motion. They utilize exercises, manual therapy techniques, and other modalities to optimize functional outcomes.

Speech and swallowing therapy: Facial trauma can affect speech and swallowing functions. Speech-language pathologists assess and treat communication and swallowing disorders, developing strategies to improve these functions.

Psychological support: Dealing with facial trauma and its consequences can have a significant psychological impact on patients. Mental health professionals provide counseling and support to help individuals cope with emotional challenges, promote self-esteem, and enhance body image.

Prosthetic rehabilitation: In cases where facial reconstruction is not feasible or desired, prosthetic rehabilitation may be considered. Specially designed facial prostheses can help restore appearance and function.

Throughout the rehabilitation process, close collaboration between healthcare professionals, patients, and their families is crucial. The treatment plan should be individualized, taking into account the specific needs and goals of each patient.

In conclusion, understanding the causes, management, and rehabilitation of degloved faces is essential in providing comprehensive care for individuals with facial trauma. Facilitating the recovery of form and function through facial reconstruction surgeries and post-surgical rehabilitation can significantly improve the quality of life for affected individuals. It is imperative for healthcare professionals to stay updated on the latest advancements in this field and adopt a multidisciplinary approach to deliver optimal care

[narangmedical]

Craniomaxillofacial implants used in the Craniomaxillofacial surgeries. It is performed to treat injuries, defects, and diseases in the head, neck, face, jaws, hard and soft tissues of the oral and maxillofacial region. https://www.orthopaedic-implants.com/craniomaxillofacial/index.php

[orthopaedicimplants]

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- **Phone:** +91 9099027776, +1 8572778302

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[advanceddentalspa]

Types of Dental Practices and Their Benefits: A Guide for Finding a Dentist in Willetton

Choosing the right dental practice is crucial for maintaining optimal oral health. Whether you're looking for routine care or specialized treatments, understanding the different types of dental practices and their benefits can help you make an informed decision. For residents of Willetton, finding the right dentist means considering both the type of practice and the specific services they offer. Here’s a comprehensive guide to the various types of dental practices and their benefits.

1. General Dentistry

Overview: General dentists are your primary dental care providers. They perform routine check-ups, cleanings, and basic dental procedures such as fillings, crowns, and extractions.

Benefits:

Preventive Care: Regular visits to a general dentist help prevent dental issues through early detection and routine cleanings.

Comprehensive Services: General dentists offer a wide range of services, making them a convenient choice for overall dental health.

Long-Term Relationship: Building a long-term relationship with a general dentist can lead to personalized care and a better understanding of your dental history.

2. Pediatric Dentistry

Overview: Pediatric dentists specialize in dental care for children from infancy through adolescence. They have additional training in managing the dental needs of young patients.

Benefits:

Child-Friendly Environment: Pediatric dentists create a welcoming and comforting environment for children, reducing anxiety associated with dental visits.

Specialized Knowledge: They are trained to handle the unique dental issues that children face, such as teething, bite alignment, and cavity prevention.

Preventive Guidance: Pediatric dentists educate parents and children on proper oral hygiene habits to ensure healthy teeth development.

3. Orthodontics

Overview: Orthodontists focus on diagnosing, preventing, and treating dental and facial irregularities. They are best known for providing braces, aligners, and other corrective appliances.

Benefits:

Improved Aesthetics: Orthodontic treatments can enhance the appearance of your smile by correcting misaligned teeth and jaws.

Better Oral Health: Properly aligned teeth are easier to clean and maintain, reducing the risk of cavities and gum disease.

Enhanced Functionality: Orthodontic treatments can improve bite function, speech, and overall oral health.

4. Periodontics

Overview: Periodontists specialize in the prevention, diagnosis, and treatment of gum diseases. They also place dental implants and perform cosmetic periodontal procedures.

Benefits:

Gum Health: Periodontists focus on treating gum disease, which is essential for maintaining overall oral health.

Dental Implants: They are experts in placing dental implants, providing a reliable solution for missing teeth.

Aesthetic Improvements: Cosmetic periodontal procedures can enhance the appearance of your gums and smile.

5. Endodontics

Overview: Endodontists specialize in treating the dental pulp and tissues surrounding the roots of a tooth. They are experts in performing root canal treatments.

Benefits:

Pain Relief: Endodontic treatments can alleviate pain caused by infected or damaged dental pulp.

Tooth Preservation: Root canal treatments performed by endodontists can save natural teeth that might otherwise need to be extracted.

Expert Care: Endodontists have advanced training and use specialized techniques to provide effective treatment.

6. Oral and Maxillofacial Surgery

Overview: Oral and maxillofacial surgeons perform surgical procedures related to the mouth, jaw, and face. This includes tooth extractions, corrective jaw surgery, and treatment of facial injuries.

Benefits:

Complex Procedures: They handle complex surgical cases that general dentists may not be equipped to manage.

Comprehensive Care: These specialists provide both surgical and non-surgical treatment options for a variety of conditions.

Expertise: Oral surgeons have extensive training in anesthesia and pain management, ensuring patient comfort.

Finding the Right Dentist in Willetton

For residents of Willetton seeking quality dental care, it's important to choose a dentist who meets your specific needs. Whether you require routine check-ups, orthodontic treatment, or specialized care, Willetton offers a range of dental practices to cater to every requirement.

General Dentists in Willetton: Ideal for routine dental care and preventive services.

Pediatric Dentists in Willetton: Perfect for families with young children needing specialized pediatric care.

Orthodontists in Willetton: Best for those seeking braces or aligners to correct dental alignment.

Periodontists in Willetton: Essential for treating gum disease and placing dental implants.

Endodontists in Willetton: Necessary for those in need of root canal treatments.

Oral Surgeons in Willetton: Suitable for complex surgical procedures involving the mouth and jaw.

By understanding the various types of dental practices and their benefits, you can make an informed decision about which dental professional to visit. Whether you need a general dentist or a specialist, Willetton has a diverse array of dental practitioners ready to provide high-quality care tailored to your needs.

[dentalwellnessjourney]

Caring for a Child's Broken Jaw: Emergency Procedures

It was a typical Saturday afternoon when the Smith family was out enjoying a day at the park. Their 8-year-old son, Timmy, was playing in the jungle gym when he suddenly lost his footing and took a hard fall to the ground. The sound of his impact was sickening, and the Smiths' hearts sank as they rushed to his side. Timmy's jaw was visibly misaligned, and he was in excruciating pain. The Smiths knew they needed to act fast to get Timmy the emergency care he required. So they rush to the Pediatric Dentist in Las Vegas.

Jaw fractures in children are one of the most common facial injuries, accounting for 45-95% of all pediatric maxillofacial trauma cases. These types of injuries can occur from falls, sports accidents, physical altercations, and motor vehicle collisions. Prompt and proper treatment is crucial, as mismanaged jaw fractures can lead to long-term complications like malocclusion, facial deformities, and impaired speech and swallowing.

Here are the statistics and facts 

Frequency of Jaw Fractures in Children: Mandible fractures are one of the most common facial injuries in children, accounting for 45-95% of all pediatric maxillofacial trauma cases.

Causes of Jaw Fractures: The most common causes of jaw fractures are facial trauma, such as falls, sports accidents, physical altercations, and motor vehicle collisions.

Symptoms of Jaw Fractures: Symptoms include pain in the face or jaw, difficulty moving the jaw, facial bruising and swelling, stiffness, dislodged teeth, numbness, and jaw misalignment when opening.

Treatment of Jaw Fractures: Treatment depends on the severity of the fracture. Mild fractures may not require medical intervention, while more severe breaks may necessitate medical interventions or surgery.

Recovery Time: The healing process for a broken jaw can take several weeks or months. The recovery time may be extended if the jaw does not receive adequate rest or if surgery is required.

Complications: Complications can include airway blockage, bleeding, breathing blood or food into the lungs, difficulty eating and talking, infection of the jaw or face, numbness of part of the jaw or face, and problems aligning the teeth.

First Aid: First aid for a broken jaw includes supporting the jaw gently in place with your hands on the way to the emergency room and wrapping a bandage along the jawline and across the top of the head.

Emergency Department Visits: In an urban trauma setting, altercations account for most fractures (50%), and motor vehicle accidents are less likely (29%).

Sex Distribution: Males suffer approximately three times as many mandible fractures as females, with the majority occurring in the third decade of life.

Epidemiology: In the US and globally, vehicular accident and altercations are the main factors contributing to mandibular fractures, according to epidemiology studies.

Recognizing the Signs of a Broken Jaw

The most obvious sign of a jaw fracture is misalignment or asymmetry of the jaw. Other common symptoms include:

Severe pain and swelling in the jaw area

Difficulty opening or closing the mouth

Bleeding or bruising around the mouth

Feeling of lack of sensation or pricking sensation in the area of the chin or bottom lip.

Trouble speaking, chewing, or swallowing

If a child exhibits any of these signs after a traumatic injury, it's important to seek emergency medical care immediately.

First Aid for a Broken Jaw

While waiting for Pediatric dentist in las vegas to arrive, there are a few first aid steps parents can take to stabilize a child's broken jaw:

Control bleeding: Apply firm, direct pressure to any bleeding areas using a clean cloth or gauze. Avoid putting pressure directly on the fracture site.

Immobilize the jaw: Gently support the child's jaw with your hands to prevent further movement. You can also wrap a bandage or towel under the chin and over the top of the head to help stabilize the jaw.

Manage pain and swelling: Apply an ice pack wrapped in a thin towel to the affected area to reduce swelling and discomfort.

Monitor breathing: If the child is having trouble breathing, keep them upright and call 911 immediately.

Avoid giving food or drink: Do not allow the child to eat, drink, or take any medication, as this could interfere with treatment.

Treating a Broken Jaw

Once the child reaches the emergency department, the healthcare team will perform a thorough evaluation, including a physical exam and imaging tests like X-rays or CT scans to determine the extent of the injury. Treatment will depend on the severity of the fracture, but may include:

Immobilization: The jaw may be wired or banded shut to keep it from moving and allow the bone to heal properly. This is typically done for 4-8 weeks.

Soft diet: If the jaw is wired, the child will need to be on a liquid or soft food diet until the jaw has healed enough to open.

Pain management: Prescription pain medication may be provided to help control discomfort.

Antibiotics: Antibiotics may be given to prevent infection, especially if the fracture broke through the skin.

Surgery: In more severe cases, surgery may be required to realign the jaw and stabilize the fracture with plates, screws, or wires.

Frequently Asked Questions

How long does it take for a child's broken jaw to heal? 

The healing process can vary, but most pediatric jaw fractures take 4-8 weeks to fully mend. During this time, the child will need to be on a soft or liquid diet and have their jaw immobilized.

Can a child still eat with a broken jaw? 

If the jaw is wired or banded shut, the child will need to be on a liquid or pureed diet, as they won't be able to open their mouth wide enough to chew solid foods. Nutritious options include smoothies, soups, and high-protein drinks.

How do you clean a child's mouth with a broken jaw? 

Gentle oral hygiene is crucial to prevent infection. Use a soft-bristled toothbrush and fluoride toothpaste to brush the teeth, and consider using a water flosser to remove food particles. Applying petroleum jelly to the lips can also help prevent dryness and chapping.

When can a child return to normal activities after a broken jaw?

 The timeline for returning to regular activities will depend on the severity of the fracture and how well it's healing. Most children can resume light, non-contact activities like walking and light exercise within 2-4 weeks. Contact sports and other high-impact activities should be avoided until the jaw has fully healed, usually around 8 weeks.

Are there any long-term effects of a broken jaw in children? 

Properly treated jaw fractures in children typically heal well without significant long-term complications. However, in some cases, issues like malocclusion, facial asymmetry, or temporomandibular joint (TMJ) dysfunction can occur. Regular follow-up with an oral surgeon or pediatric dentist is important to monitor the child's progress.

How can Adventure Smiles help families with a child's broken jaw?

 Adventure Smiles provides free dental care and education to underserved communities. If a family is struggling to afford the cost of treating a child's broken jaw, Adventure Smiles may be able to connect them with local resources and support services to ensure the child receives the necessary medical attention.

What should I do if my child's jaw becomes re-dislocated?

 If a child's jaw becomes dislocated again after treatment, it's crucial to seek immediate medical attention. In the meantime, gently support the jaw with your hands to prevent further movement, and avoid opening the mouth wide. Keep a pair of blunt scissors on hand in case the wires or bands need to be cut in an emergency.

Expert Insight

"Prompt and proper treatment of a child's broken jaw is essential to prevent long-term complications and ensure the best possible outcome," says Dr. Sarah Lim, a pediatric oral and maxillofacial surgeon. "If parents suspect that their child has a jaw fracture, they should immediately seek emergency care. With the right medical intervention and a commitment to the rehabilitation process, most children can make a full recovery."

Caring for a child with a broken jaw can be a stressful and overwhelming experience for parents, but with the right knowledge and support, they can help ensure their child receives the best possible care. By recognizing the signs of a jaw fracture, providing immediate first aid, and seeking prompt medical attention, parents can help minimize the risk of long-term complications and set their child on the path to a full recovery. Organizations like Adventure Smiles are also available to help families access the resources and support they need during this challenging time.

Here are the references mentioned in the article:

Broken Jaw in Children: Care Instructions - MyHealth Alberta

https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bu1116

Jaw Fracture in Children - What You Need to Know - Drugs.com

https://www.drugs.com/cg/jaw-fracture-in-children.html

Jaw fractures in children - ScienceDirect.com

https://www.sciencedirect.com/science/article/pii/016558769090195W

Mandible Fracture - StatPearls - NCBI Bookshelf

https://www.ncbi.nlm.nih.gov/books/NBK507705/

A Child's Broken Jaw - JAMA Network

https://jamanetwork.com/journals/jama/fullarticle/353696