Petersen Kyle, Hayes David K, Blice Jeffrey P, Hale Robert G
Naval Medical Research Center, Silver Spring, Maryland, USA.
J Trauma. 2008 Mar;64(3 Suppl):S265-76. doi: 10.1097/TA.0b013e318163d2a6.
Maxillofacial injuries constitute 16% of all war-related injuries. This review focuses on data available from military and civilian studies to provide evidence-based recommendations for the modification of infections associated with combat-related injuries to the head and neck. The major emphasis of this review is on the study of subsequent infection, perioperative antimicrobial prophylaxis, debridement of devitalized tissue, optimal time to wound closure to achieve a water tight seal, wound irrigation with removal of debris and gross contaminants, fracture fixation, and removal of ocular foreign bodies with intravitreal antibiotics. Further studies are needed in combat-related injuries to the head and neck in military personnel to provide the highest evidence-based medicine recommendations.
颌面损伤占所有与战争相关损伤的16%。本综述聚焦于军事和民用研究中可得的数据，以便为改善与头颈部战斗相关损伤所致感染提供循证建议。本综述的主要重点在于后续感染研究、围手术期抗菌预防、失活组织清创、实现水密封闭的最佳伤口闭合时间、清除碎屑和大量污染物的伤口冲洗、骨折固定以及使用玻璃体内抗生素清除眼内异物。对于军事人员头颈部战斗相关损伤，还需要进一步研究以提供最高级别的循证医学建议。
