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与轮胎爆炸相关的广泛性颌面损伤的处理:一例罕见病例报告。

Management of extensive maxillofacial injury related to a Tyre Blast: A rare case report.

作者信息

Rao Sanjay S, Baliga Sridhar D, Bhatnagar Abhinav

机构信息

Department of Oral and Maxillofacial Surgery, KLE VK Institute of Dental Sciences and Hospital, Belgaum 590010, Karnataka, India.

出版信息

Saudi Dent J. 2018 Jan;30(1):97-101. doi: 10.1016/j.sdentj.2017.08.002. Epub 2017 Sep 23.

Abstract

BACKGROUND

Severe blast injuries of large tyres are similar to those resulting from explosions with neither thermal nor chemical effects. The literature related to the destructive nature of these blasts is very sparse. This case aims to report the clinical management of a patient involved in large tyre blasts who presented with a severe soft tissue injury, comminuted mandible and associated multiple facial fractures due to a tyre blast injury.

RESULTS

Excellent results were obtained following reduction and fixation of fractures with primary suturing, as these types of injuries are prone to infection secondarily.

CONCLUSION

Due to the etiology and severity of injury, these injuries are challenging to operate and are more prone to infection following surgery. These require careful management skills.

摘要

背景

大型轮胎严重爆炸伤类似于无热效应和化学效应的爆炸所导致的损伤。关于这些爆炸破坏性本质的文献非常稀少。本病例旨在报告一名因轮胎爆炸伤导致严重软组织损伤、下颌骨粉碎性骨折及相关多处面部骨折的大型轮胎爆炸伤者的临床治疗情况。

结果

骨折复位固定并一期缝合后取得了良好效果,因为这类损伤继发感染的风险较高。

结论

由于损伤的病因和严重程度,这些损伤手术难度大,术后更易发生感染。对此需要谨慎的处理技巧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30e3/6112306/5fa84c14d849/gr1.jpg

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