Traumatic brain injury: review of current management strategies

Br J Oral Maxillofac Surg. 2012 Jun;50(4):298-308. doi: 10.1016/j.bjoms.2011.03.004. Epub 2011 May 6.


Head injury is a common condition with a high morbidity and mortality. Serious intracranial haematomas require early recognition and evacuation to maximise chances of independent outcomes. Recent organisational changes have promoted the development of trauma units and major trauma centres where patients can go through triage and be managed in an appropriate environment, and the development of management pathways in intensive treatment units has resulted in improvements in the outcome of traumatic brain injuries. Evidence for the treatment of cerebral perfusion pressure, and management of hyperventilation, osmotherapy, tracheostomy, and leakage of cerebrospinal fluid (CSF) has accumulated during the last decade and is important in the management of patients in all clinical settings. Since head injury is commonly associated with maxillofacial injuries, this review will be relevant to all who deal with this aspect of trauma.

Publication types

  • Review

MeSH terms

  • Antibiotic Prophylaxis / statistics & numerical data
  • Brain Injuries / complications*
  • Brain Injuries / surgery*
  • Cerebral Hemorrhage, Traumatic / etiology
  • Cerebral Hemorrhage, Traumatic / surgery
  • Critical Care
  • Critical Pathways
  • Decompression, Surgical
  • Diffuse Axonal Injury / etiology
  • Diffuse Axonal Injury / surgery
  • Glasgow Coma Scale
  • Humans
  • Hyperventilation / etiology
  • Hyperventilation / therapy
  • Intracranial Hypertension / etiology
  • Intracranial Hypertension / therapy
  • Intracranial Pressure
  • Prognosis
  • Time-to-Treatment