Bonkowsky V M, Mang W L, Wendl F, Frank C
Univ. HNO-Klinik und Poliklinik rechts der Isar, München.
Laryngorhinootologie. 1989 Oct;68(10):539-42. doi: 10.1055/s-2007-998395.
The aim of this study was to discuss the various neurological complications after middle face fractures. The study is based on 186 patients with injuries of the middle face region, admitted to the ENT Department for clinical diagnosis and treatment. Only patients with apparently minor head injury (SHT I. degree) were included in this study. The neurological complications are divided into extracranial and intracranial neurological impairments. It was evident that extracranial neurological complications are frequent and that they decisively influence the surgical treatment (decompression of the N. infraorbitalis or N. opticus). The intracranial neurological complications, however, are rare, but most important for the prognosis quoad vitam, because a small number of patients with middle face fractures can develop a life-threatening intracranial haematoma that must be rapidly detected and removed.
本研究的目的是探讨中面部骨折后的各种神经并发症。该研究基于186例中面部区域受伤的患者，他们因临床诊断和治疗而入住耳鼻喉科。本研究仅纳入明显轻度头部损伤（SHT I度）的患者。神经并发症分为颅外和颅内神经损伤。很明显，颅外神经并发症很常见，并且它们对手术治疗（眶下神经或视神经减压）具有决定性影响。然而，颅内神经并发症很少见，但对生命预后最为重要，因为少数中面部骨折患者可能会发生危及生命的颅内血肿，必须迅速检测并清除。
