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复杂面部损伤的处理:角向磨光机造成的切割伤

Management of Complex Facial Injuries: Cutting Traumas by Angle Grinders.

作者信息

Sudhoff Holger, Schulte Am Esch Jan, Ay Nazli, Todt Ingo

机构信息

Department of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld, Bielefeld, Germany.

Department of General and Visceral Surgery, Protestant Hospital of Bethel Foundation, Bielefeld, Germany.

出版信息

Int J Otolaryngol. 2020 May 17;2020:1891250. doi: 10.1155/2020/1891250. eCollection 2020.

DOI:10.1155/2020/1891250
PMID:32508925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7251467/
Abstract

The use of angle grinders can lead to complex facial injuries. The most frequent sites affected are within the head and face region. Anatomical boundaries or structures are not respected by the high-speed disc of angle grinders, and thus, injuries can be mutilating, permanently disabling, or even lethal. Functional and aesthetical satisfying results can be reached through debridement, excision of wound edges, and meticulous layered functional closure after appropriate reconstruction of additional facial bony defects. The management and short-term outcome of a complex facial cutting trauma by an angle grinder are presented and discussed.

摘要

使用角磨机可能导致复杂的面部损伤。受影响最频繁的部位是头面部区域。角磨机的高速砂轮不受解剖边界或结构的限制,因此,损伤可能是毁容性的、永久性致残的,甚至是致命的。通过清创、切除伤口边缘以及在适当重建额外的面部骨缺损后进行细致的分层功能性缝合,可以获得功能和美学上令人满意的结果。本文介绍并讨论了角磨机造成的复杂面部切割伤的处理方法及短期预后。

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本文引用的文献

1
Penetrating head injury due to angle grinder: an occupational hazard.角磨机导致的穿透性头部损伤:一种职业危害。
Br J Neurosurg. 2019 Apr;33(2):202-206. doi: 10.1080/02688697.2018.1467375. Epub 2018 Apr 25.
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Fatal cranial injuries caused by an electric angle grinder.电动角磨机导致的致命颅脑损伤。
J Forensic Sci. 2001 Mar;46(2):389-91.
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Angle grinder injuries: a cause of serious head and neck trauma.角向磨光机损伤:严重头颈部创伤的一个原因。
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Beitr Gerichtl Med. 1989;47:641-7.