Politis Constantinus, Kluyskens Alexandra, Dormaar Titiaan
OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
Department of Oral and Maxillofacial Surgery, Leuven University Hospitals, Leuven, Belgium.
Craniomaxillofac Trauma Reconstr. 2017 Jun;10(2):99-105. doi: 10.1055/s-0037-1599228. Epub 2017 Feb 7.
The aim of this study is to evaluate the incidence of ophthalmic complications following midfacial fractures and investigate its relation to surgical or nonsurgical treatment. This article is a retrospective study, describing the spectrum and incidence of ophthalmic injury in 106 patients presenting with midfacial fractures at the Department of Oral and Maxillofacial Surgery of the University Hospitals Leuven over a period of 16 months (January 2013 to April 2014). The mean age of the patients was 45.6 years with a gender distribution of 68 men and 38 women. The main cause of trauma was road traffic accidents. Forty-one patients suffered an ophthalmic injury following the fracture. Twelve of them had a persistent ophthalmic problem. Ophthalmic examination is necessary during the initial management. The time window for preservation of sight is small and treatment should be started immediately. Development of an emergency trauma scale that includes fractures, symptoms of visual impairment, and patient history is recommended and should stimulate a multidisciplinary approach of complex cases.
本研究的目的是评估面中部骨折后眼科并发症的发生率，并探讨其与手术或非手术治疗的关系。本文是一项回顾性研究，描述了鲁汶大学医院口腔颌面外科在16个月（2013年1月至2014年4月）期间收治的106例面中部骨折患者的眼科损伤范围和发生率。患者的平均年龄为45.6岁，性别分布为68名男性和38名女性。创伤的主要原因是道路交通事故。41例患者骨折后出现眼科损伤。其中12例有持续性眼科问题。在初始治疗期间进行眼科检查是必要的。视力保留的时间窗很小，应立即开始治疗。建议制定一种包括骨折、视力损害症状和患者病史的紧急创伤量表，这应能促进对复杂病例采取多学科方法。
