Abstract

Injury to the craniomaxillofacial (CMF) area has major implications for mortality and morbidity depending on many factors that influence the level of treatment. In warzones, the extent of CMF injuries is amplified mainly due to the damage caused by bomb blasts. This study presents CMF injury as the result of war incidents to highlight the differences in injury type as well as the impact that an austere environment has on treatment. The author has unique insight and experience of treating CMF injuries in Misrata, Libya, where there is ongoing civil conflict. Surgeons in Libyan hospitals require intensive training intervention to effectively manage gunshot injuries, blast injuries and disasters and while these cases represent an austere environment, conclusions can be drawn for recent incidents involving terrorism. This study presents an analysis of injury patterns of patients presenting with CMF trauma during the Misrata battle of the Libyan conflict in 2011.

Highlights

  • The civil war in Libya has dramatically affected the lives of the general population [1]

  • This study presents an analysis of injury patterns of patients presenting with CMF trauma during the Misrata battle of the Libyan conflict in 2011

  • The major cause of CMF injury of this cohort was from blast (75.3%) which was expected with large scale shelling and bombings

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Summary

Introduction

The civil war in Libya has dramatically affected the lives of the general population [1]. As Misrata’s third largest city in Libya, Misrata was severely affected by the conflict with war-related CMF trauma occurring throughout the siege and the multiple campaigns launched by progovernment forces to retake the city. Gunshot and blast injuries in war environments commonly affect the head and neck area and are often life-threatening [5]. Management of these injuries is challenging due to the anatomical complexity, and the functional and aesthetic consequences of poor reconstruction. It is important that healthcare providers managing these injuries in austere and war environments, have the necessary knowledge and skills to achieve the best possible clinical outcomes with the tools available [6]

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