Abstract
The treatment of craniomaxillofacial and cervical wounds in a disaster relief setting
is done by clinicians from local medical treatment facilities, non-governmental organisations
(NGO), or the military. Although each group and individual surgeon will need specific
equipment, this will be restricted by weight, portability and interoperability. We
systematically reviewed scientific and commercial publications according to the Preferred
Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The
papers we identified described the portable equipment that is required to treat patients
who need damage-control surgery (decompressive craniectomy, temporary stabilisation,
and internal and external fixation of the facial bones) for craniomaxillofacial and
cervical injuries in austere or military settings. Austere settings are those in which
there is an inherent lack of infrastructure, such as facilities, roads, and power.
A total of 35 papers or scientific articles recommended the equipment that is needed
to manage these injuries, but we could find no module that was specifically designed
for use in these environments. Multiple modules are currently required to provide
comprehensive surgical care and many of the items in the existing maxillofacial and
neurosurgical kits are rarely used, which increases the cost of initial procurement
and resupply. Duplications in equipment between modules also increase the size, weight,
and financial cost. We suggest the equipment that is required to make up a rationalised,
lightweight, and compact module that can be used for all craniomaxillofacial and cervical
operations in austere settings.
Keywords
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Article info
Publication history
Published online: January 13, 2020
Accepted:
December 18,
2019
Received:
August 15,
2019
Identification
Copyright
Crown Copyright © 2019 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons. All rights reserved.
