Life-threatening bleeding associated with facial trauma is considered
rare, and most references on this subject do not recommend a precise t
reatment plan. The purpose of the present study is to review the origi
n of bleeding and various treatment methods, and to formulate a plan o
f management for these patients, emphasizing the role of the maxillofa
cial surgeon in the immediate intervention to control the bleeding. 22
2 patients with midface fractures were treated between 1985 to 1990. 1
0 of them had severe and life-threatening bleeding on admission. Bleed
ing was controlled by nasal packing (9 patients) combined with tempora
ry fracture reduction (7 patients).