Juncar Mihai, Juncar Raluca-Iulia, Onisor-Gligor Florin
1 Oral and Maxillofacial Surgery, Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
2 Department of Prosthetics, Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
J Int Med Res. 2019 May;47(5):2280-2287. doi: 10.1177/0300060519840128. Epub 2019 Apr 8.
Traumas are a major problem worldwide. A considerable proportion of traumas are located in the cephalic extremity. Neglect of these disorders by patients or those responsible for patient management may result in particularly serious consequences. This paper presents the case of a 58-year-old male patient with an intraorally open mandibular fracture, which left untreated for 3 days, was complicated by Ludwig's angina. Following aggressive surgical treatment during which the mandibular fracture was manually reduced and immobilized with a metal splint fixed with circumdental wires and effective antibiotic therapy, the septic process was terminated and the patient's fracture and infected wound were healed. The correct and rapid treatment of open mandibular fractures is mandatory in order to avoid severe septic complications.
创伤是全球范围内的一个主要问题。相当一部分创伤位于头部。患者或负责患者管理的人员对这些疾病的忽视可能会导致特别严重的后果。本文介绍了一名58岁男性患者的病例，该患者口腔内开放性下颌骨骨折，未治疗3天，并发路德维希咽峡炎。经过积极的外科治疗，手动复位下颌骨骨折并用环绕牙弓丝固定的金属夹板固定，同时进行有效的抗生素治疗，感染过程得以终止，患者的骨折和感染伤口愈合。为避免严重的感染并发症，必须正确、迅速地治疗开放性下颌骨骨折。
