How to care for maxillofacial fracture reduction and fixation

summary

Maxillofacial trauma occurs in the face, it is easy to affect the face, so the maxillofacial fracture reduction and fixation is very important, especially in the nursing aspect, let's talk about how to care for maxillofacial fracture reduction and fixation.

How to care for maxillofacial fracture reduction and fixation

First: preoperative care: maxillofacial trauma can make great changes in the face, should do a good job in psychological care, enlighten, comfort patients. Give a high calorie, high protein liquid diet. Make preparation before operation. Postoperative nursing: half sitting and lying position should be taken 6 hours after operation to facilitate wound drainage and reduce local swelling; severe patients should pay attention to changing body position. Observe the condition changes, pay attention to the vital signs, consciousness and pupil changes and whether there is brain injury; observe the changes of vision and nasal bleeding.

Second: according to the doctor's advice to give analgesics, combined with brain or chest injury, avoid morphine. The secretions in the mouth and nasal cavity should be sucked out in time to keep the respiratory tract unobstructed. Do a good job in oral care and keep oral cavity clean. Encourage patients to cough expectoration, to prevent the occurrence of pneumonia. Observe whether the internal fixation device has the performance of loosening, shifting, pressing the gums or stabbing the labiobuccal mucosa; after removing the internal fixation device 4-6 weeks after operation, guide the practice of mouth opening and diet, and gradually restore the chewing function.

Third: it is suitable for the early cases of fracture. At this time, the fracture has not occurred fibrous healing, the fracture piece is relatively active, and the displaced fracture piece can be restored to the normal position by hand. Traction reduction is used in cases of unsatisfactory manual reduction of multiple fractures or fibrous union.

matters needing attention

After the reduction and fixation of maxillofacial fracture, we should not only do a good job in physical nursing, but also psychological nursing, because it may have an impact on the patient's face, so we should comfort the patient, and do not have too much pressure.