Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy.
Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy.
J Craniomaxillofac Surg. 2019 Oct;47(10):1535-1541. doi: 10.1016/j.jcms.2019.07.007. Epub 2019 Jul 19.
The aim of this study was to assess and discuss our experience with a teleradiology technique applied to facial trauma patients referred to an oral and maxillofacial surgery hub center.
All trauma patients with maxillofacial fractures from the hospitals of Vercelli, Biella, Borgosesia, Borgomanero, Verbania, and Domodossola who were referred between July 2014 and September 2018 to the hub maxillofacial center of Novara were reviewed. The following data were recorded for each patient: sex, age, referral hospital, etiology, etiology mechanisms, site of facial fractures, date of injury, indications for surgery according to teleradiology consultation, indications for surgery following clinical maxillofacial assessment, date of eventual surgery, timing of surgery from trauma, type of surgical intervention.
A total of 467 patients with a total of 605 fractures were triaged and managed by the Tempore telemedicine system. The most frequent cause of maxillofacial injury was fall. The most frequently observed fracture involved the zygoma. Following remote computed tomography assessment, surgical indications were suggested in 68 patients; 223 patients were not considered suitable candidates for surgery; and 176 patients needed a clinical assessment for the establishment of definitive eventual indications for surgery. Following clinical assessment, the absence and presence of surgical indications was confirmed in all 223 and 68 patients, respectively. Within the 176 patients with "possible" surgical indications, only 27 patients were referred for surgery.
Teleradiology may be helpful for an appropriate triaging of trauma patients from peripheral hospitals for the correct referral to a maxillofacial trauma hub center.
本研究旨在评估和讨论我们在将远程放射学技术应用于面部创伤患者方面的经验，这些患者被转介到口腔颌面外科中心。
回顾了 2014 年 7 月至 2018 年 9 月期间，来自韦尔切利、比耶拉、博尔戈塞西亚、博尔戈马内罗、韦尔巴尼亚和多莫多索拉的医院转诊到诺瓦拉颌面中心的所有颌面骨折创伤患者。记录了每位患者的以下数据：性别、年龄、转诊医院、病因、病因机制、面部骨折部位、受伤日期、根据远程放射学咨询的手术指征、临床颌面评估后的手术指征、最终手术日期、从创伤到手术的时间、手术类型。
共有 467 名患者，共 605 处骨折，通过 Tempore 远程医疗系统进行了分诊和管理。颌面损伤最常见的原因是跌倒。最常见的骨折涉及颧骨。远程计算机断层扫描评估后，建议 68 名患者进行手术；223 名患者不适合手术；176 名患者需要临床评估以确定最终手术指征。临床评估后，223 名患者和 68 名患者分别确认无手术指征和有手术指征。在“可能”有手术指征的 176 名患者中，仅有 27 名患者被转诊进行手术。
远程放射学可有助于对外周医院的创伤患者进行适当分诊，以便正确转介到颌面创伤中心。
