Christofides Efthimios Andreas, Richards Peter, Wall Steven Arthur
Craniofacial Unit, Radcliffe Infirmary, Oxford, United Kingdom.
J Craniofac Surg. 2006 Mar;17(2):390-4. doi: 10.1097/00001665-200603000-00035.
Hematomata are well-recognized complications of surgery. Subperiosteal hematomata occur rarely and have not been well documented after craniofacial surgery. It is possible that craniofacial surgery increases the likelihood of subperiosteal hematomata occurring after minor trauma, even long after surgery, with a risk of subsequent ossification. Over a period of 7 years, 12 patients were identified as having possible subperiosteal hematomata. A number of these patients displayed distinct ossification in the area of the subperiosteal hematoma, resulting in an obvious contour defect. This can be prevented if the patients present early enough and if the hematoma is evacuated. Prompt evacuation of the hematoma is therefore suggested in any case with a history suggestive of a subperiosteal hematoma.
血肿是手术中公认的并发症。骨膜下血肿很少见，在颅面外科手术后也没有得到充分的记录。颅面外科手术可能会增加轻微创伤后（甚至在手术后很长时间）发生骨膜下血肿的可能性，并伴有随后骨化的风险。在7年的时间里，有12名患者被确定可能患有骨膜下血肿。其中一些患者在骨膜下血肿区域出现明显的骨化，导致明显的轮廓缺损。如果患者就诊足够早且血肿被清除，这种情况是可以预防的。因此，对于任何有骨膜下血肿病史提示的病例，建议及时清除血肿。
