Slupchynskyj O S, Berkower A S, Byrne D W, Cayten C G
Institute for Trauma and Emergency Care, New York Medical College, Valhalla 10595.
Laryngoscope. 1992 Nov;102(11):1247-50. doi: 10.1288/00005537-199211000-00008.
A retrospective analysis of 268 trauma patients with facial fractures who received computed tomography of the head was undertaken to assess an association with skull base fractures. The incidence of skull base fracture was compared to facial fractures of various anatomic locations. Skull base fractures were significantly increased in orbital wall/rim fractures (36.0%, P = .0823). In contrast, skull base fractures related to orbital floor (27.3%, P = .6191) and maxillary/zygomatic (29.4%, P = .1148) fractures were not significantly greater and were infrequently seen with mandible (4.0%, P = .0454) and nasal (7.7%, P = .0345) fractures. The incidence of skull base fracture was directly associated with the number of facial fractures per patient; one facial fracture (21.0%), two facial fractures (30.4%), and three or more facial fractures (33.3%) (P < .05). The incidence of skull base fractures was related to the location of facial fractures and the number of facial fractures per patient. The results provide additional clinical information to facilitate the prompt detection and diagnoses of skull base fracture.
对268例接受头部计算机断层扫描的面部骨折创伤患者进行回顾性分析，以评估与颅底骨折的相关性。将颅底骨折的发生率与不同解剖部位的面部骨折进行比较。眶壁/眶缘骨折患者的颅底骨折发生率显著增加（36.0%，P = 0.0823）。相比之下，与眶底骨折（27.3%，P = 0.6191）和上颌骨/颧骨骨折（29.4%，P = 0.1148）相关的颅底骨折发生率没有显著升高，而下颌骨骨折（4.0%，P = 0.0454）和鼻骨骨折（7.7%，P = 0.0345）患者中则很少见。颅底骨折的发生率与每位患者面部骨折的数量直接相关；一处面部骨折（21.0%）、两处面部骨折（30.4%）以及三处或更多处面部骨折（33.3%）（P < 0.05）。颅底骨折的发生率与面部骨折的部位以及每位患者面部骨折的数量有关。这些结果为促进颅底骨折的及时发现和诊断提供了更多临床信息。
