Cesteleyn L, Bremerich A, Smith G
Dienst Maxillo-faciale Chirurgie Algemeen Ziekenhuis Sint-Vincentius.
Acta Stomatol Belg. 1990 Dec;87(4):265-76.
The outline of therapeutic priorities in case of maxillo-facial traumatism may be divided in three different stages according to the need of acute urgent, urgent and necessary intervention. Acute urgent therapy is called for when the bleeding of the arteria carotis externa or the maxillary artery cannot be quenched or when the superior airways are obstructed by the soft tissues of the tongue or the floor of the mouth. A description of the therapeutic attitude in such cases is given. Urgent therapy should be given within 8 hours after the accident and mostly consists in the immobilisation of bony injuries and definite care of soft tissue lacerations. Necessary therapy includes the final surgical treatment such as osteosynthesis by titanium mini-plates. More specific problems like frontobasal fractures and fractures of the orbital floor are described separately.
颌面创伤情况下治疗重点的概述可根据急性紧急、紧急和必要干预的需求分为三个不同阶段。当颈外动脉或上颌动脉出血无法止住，或者上呼吸道被舌或口底软组织阻塞时，需要进行急性紧急治疗。文中给出了此类情况下治疗态度的描述。紧急治疗应在事故发生后8小时内进行，主要包括固定骨损伤和妥善处理软组织裂伤。必要治疗包括最终的手术治疗，如用微型钛板进行骨合成。诸如额底骨折和眶底骨折等更具体的问题将分别进行描述。
