Chuong R, Mulliken J B, Kaban L B, Strome M
J Trauma. 1987 May;27(5):477-82. doi: 10.1097/00005373-198705000-00003.
The treatment of facial trauma currently falls within the purview of several surgical subspecialties, including plastic surgery, oral and maxillofacial surgery, otolaryngology, ophthalmology, and neurosurgery. The complexity of facial anatomy and the newer techniques for skeletal and soft-tissue reconstruction demand interdisciplinary, rather than multidisciplinary, care for these injuries. Interdisciplinary cooperation benefits the patient with a complex facial fracture by: minimizing chances for inadequate primary therapy, promoting discussion of controversial therapy, and providing the optimal therapy. Examples are given of unfavorable results following treatment of facial fractures. Recommendations are made to foster communication between the concerned surgical subspecialties.
目前,面部创伤的治疗分属于多个外科亚专业领域,包括整形外科、口腔颌面外科、耳鼻喉科、眼科和神经外科。面部解剖结构的复杂性以及骨骼和软组织重建的新技术要求对这些损伤进行跨学科而非多学科护理。跨学科合作通过以下方式使复杂面部骨折患者受益:将初始治疗不充分的可能性降至最低,促进对有争议治疗方法的讨论,并提供最佳治疗。文中给出了面部骨折治疗后出现不良结果的例子。文中还提出了促进相关外科亚专业之间沟通的建议。