Anesthesiologists are involved: Anesthesiologists are involved

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• both maxillary and mandibular fractures will make mask ventilation more difficult, whereas mandibular fractures will make intubation easier

• Palpation of facial bones before manipulation of the airway help to diagnosis

• Patients with jaw and zygomatic arch injuries often have trismus.

• trismus will resolve with the administration of neuromuscular blocking agents

• Bilateral mandibular fractures and pharyngeal hemorrhage may lead to upper airway obstruction, particularly in a supine patient

• A patient arriving at the ED in the sitting or prone position because of airway compromise is best left in that position until the moment of anesthetic induction and intubation.