Patel Rina, Reid Russell R, Poon Colin S
Department of Radiology, Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA.
Semin Ultrasound CT MR. 2012 Oct;33(5):410-7. doi: 10.1053/j.sult.2012.06.005.
Maxillofacial fractures are very common. Recognizing patterns of facial fractures is helpful in assessing maxillofacial injury and accurately characterizing all fractures that may be present. Facial fractures are grouped into the following categories: nasal bone, naso-orbito-ethmoid, orbital, zygomatic, maxillary (including Le Fort-type fractures), mandibular, and frontal sinus fractures. Within each subgroup of facial fractures, there are key findings, whether of the fracture itself or of potential associated injuries, that are important factors in determining whether the patient is managed conservatively or with surgery. This article highlights the features of facial fractures that are the most important to the surgeons and provides a framework for effective radiological reporting.
颌面骨折非常常见。识别面部骨折的模式有助于评估颌面损伤,并准确描述可能存在的所有骨折情况。面部骨折可分为以下几类:鼻骨骨折、鼻眶筛骨折、眼眶骨折、颧骨骨折、上颌骨骨折(包括Le Fort型骨折)、下颌骨骨折和额窦骨折。在每一类面部骨折中,无论是骨折本身还是潜在的相关损伤,都有一些关键发现,这些发现是决定患者采用保守治疗还是手术治疗的重要因素。本文重点介绍了对面外科医生最重要的面部骨折特征,并提供了一个有效的放射学报告框架。