Meara Daniel J, Jones Lewis C
Department of Oral and Maxillofacial Surgery & Hospital Dentistry, Christiana Care Health System, 501 West 14th Street, Suite 2W40, Wilmington, DE 19801, USA.
Department of Surgical and Hospital Dentistry, University of Louisville, 501 South Preston Street, Louisville, KY 40241, USA.
Oral Maxillofac Surg Clin North Am. 2017 Nov;29(4):391-399. doi: 10.1016/j.coms.2017.06.002.
Craniomaxillofacial trauma management has continued to improve and evolve as a result of advances in technology and scientific inquiry. Controversies exist where there is little evidence-based literature to guide treatment in frontal sinus management, rigid versus absorbable fixation, open versus closed treatment of mandibular condyle fractures, extraction of teeth in the line of fracture, optimal timing for repair of mandible fractures, antibiotic use for facial wounds and fractures, and reconstructive materials in orbital fracture reconstruction. This article reviews current literature to resolve some of the controversies, to improve patient care by reducing variability and uncertainty in the optimal management of facial trauma patients.
由于技术进步和科学探索，颅颌面创伤的管理持续改进和发展。在额窦管理、坚固固定与可吸收固定、下颌髁突骨折的开放治疗与闭合治疗、骨折线上牙齿的拔除、下颌骨骨折修复的最佳时机、面部伤口和骨折的抗生素使用以及眼眶骨折重建中的重建材料等方面，由于缺乏循证医学文献来指导治疗，存在诸多争议。本文回顾当前文献以解决其中一些争议，通过减少面部创伤患者最佳管理中的变异性和不确定性来改善患者护理。
