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头部受伤患者额基底和面部中部骨折的主要治疗方法。

The primary treatment of frontobasal and midfacial fractures in patients with head injuries.

作者信息

Piotrowski W P

机构信息

Oberarzt Department of Neurosurgery, Landesnervenklinik Salzburg, Austria.

出版信息

J Oral Maxillofac Surg. 1992 Dec;50(12):1264-8. doi: 10.1016/0278-2391(92)90224-n.

Abstract

The timing of operation can be especially difficult when frontobasal fractures are combined with other head injuries and midfacial injuries. In these cases, the head injury represents a considerable hazard to the patient and therefore it is mandatory to avoid any additional strain that might be caused by treating the midfacial injury first. On the other hand, because of poorer results with the secondary treatment, the surgical therapy for midfacial injuries should be achieved as early as possible. This report describes the results obtained in 68 patients managed over a period of 5 years and discusses their definite primary treatment. It emphasizes the need for close cooperation between the various surgical specialties involved.

摘要

当额基部骨折合并其他头部损伤和面部中部损伤时,手术时机的选择可能特别困难。在这些情况下,头部损伤对患者构成相当大的危险,因此必须避免因首先治疗面部中部损伤而可能引起的任何额外负担。另一方面,由于二期治疗效果较差,面部中部损伤的手术治疗应尽早进行。本报告描述了5年间对68例患者的治疗结果,并讨论了其明确的初始治疗方法。它强调了各相关外科专业密切合作的必要性。

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