Schlievert Randall
Department of Pediatrics, Child Abuse Program, Mercy Children's Hospital, Toledo, OH 43608, USA.
Pediatr Emerg Care. 2006 Mar;22(3):181-3. doi: 10.1097/01.pec.0000203818.17292.eb.
Mandibular fractures in infants are rare and difficult to detect. Causes include motor vehicle accidents, falls, and physical abuse. Historical, physical, and imaging aids to diagnose mandibular fractures and to differentiate abuse from accident are discussed. Three-dimensional computed tomographic scans are the preferred method of imaging. In addition, a thorough workup for physical abuse is needed.
婴儿下颌骨骨折罕见且难以检测。病因包括机动车事故、跌倒和身体虐待。本文讨论了用于诊断下颌骨骨折以及区分虐待与意外事故的病史、体格检查和影像学辅助手段。三维计算机断层扫描是首选的影像学检查方法。此外,还需要对身体虐待进行全面检查。