Skjelbred P
Avdeling for maxillofacial kirurgi, Kirurgisk klinikk, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1992 Mar 20;112(8):1032-7.
Major maxillofacial injuries are common in patients with multiple injuries and may be life-threatening due to obstruction of airways and bleeding. The initial treatment is to secure and maintain a free passage of air and to control bleeding. The extent of the injury is assessed after careful clinical examination and CT scanning of the facial skeleton. Treatment consists of suturing soft tissue, and reduction and fixation of fractures. Open reduction and stable fixation using lag screws, microplates and miniplates are recommended. The best results are obtained by operative treatment of major maxillofacial injuries as early as possible.
严重颌面损伤在多发伤患者中很常见，可能因气道阻塞和出血而危及生命。初始治疗是确保并维持气道通畅以及控制出血。在对面部骨骼进行仔细的临床检查和CT扫描后评估损伤程度。治疗包括缝合软组织以及骨折复位和固定。建议使用拉力螺钉、微型钢板和小型钢板进行切开复位和稳定固定。尽早对严重颌面损伤进行手术治疗可获得最佳效果。
