Interference and characteristics of periorbital edema in pupil examination after craniotomy. To assess the interference and the characteristics of periorbital edema in pupil examination with patients who underwent anterior craniotomy. Prospective cohort study conducted postoperatively in an intensive care unit and neurosurgery ward. Pupil examination was performed by nurses.
Suddenly, a tech quickly brings a new patient in a wheelchair. Your new patient is a year-old female, with history of HTN, who presents with facial swelling. She tries to tell you more history, but given her significant swelling and respiratory distress, you are unable to understand her. She did bring a list of her medications, and of note, was recently started on Lisinopril for her HTN. Facial Swelling is a complaint with a wide differential. As emergency clinicians, it is important to distinguish the life-threatening causes of facial swelling from the less emergent causes. We can separate the differential of facial swelling into categories based on the location of the swelling.
This chapter will discuss the expected edema and intercurrences in maxillofacial surgery, which involves important anatomical structures, such as the upper airways. It will also discuss important issues such as intrinsic and extrinsic enhancers of edema and the main consequences of a severe edema setting according to physiological, functional, and psychosocial points of view. Edema assessment and measurement is still performed subjectively in the clinical routine. However, for the accomplishment of studies, more objective forms are being tested, but still not very successful for clinical applicability. It is known that the best way to deal with edema is prevention; so in elective surgeries, much is discussed about the best management forms.
Facial swelling is the buildup of fluid in the tissues of the face. Swelling may also affect the neck and upper arms. If the facial swelling is mild, it may be hard to detect. Let the health care provider know the following:.