颌面部创伤中的眼科并发症：一项前瞻性研究。
Ophthalmic Complications in Maxillofacial Trauma: A Prospective Study.
作者信息
Jain Swapnil M, Gehlot Neelima, Kv Arunkumar, Prasad Pawan, Mehta Prashansa, Paul Thota Roger, Dupare Ankit, Cvns Chakka Satyadev, Rahman Sadaf
机构信息
Department of Oral and Maxillofacial Surgery, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, IND.
Department of Oral and Maxillofacial Surgery, Konaseema Institute of Medical Sciences (KIMS) Dental College and Hospital, Amalapuram, IND.
出版信息
Cureus. 2022 Aug 2;14(8):e27608. doi: 10.7759/cureus.27608. eCollection 2022 Aug.
OBJECTIVES
To determine the incidence and types of ophthalmic complications associated with maxillofacial trauma over a period of 24 months.
METHODS
An institutional prospective study was conducted on 62 patients presenting with maxillofacial trauma to study the correlation between facial trauma and ophthalmic complications.
RESULTS
Road traffic accidents were reported to be the primary etiologic factor for most trauma cases studied. Zygomaticomaxillary complex (ZMC) fracture was associated with more ophthalmic complications while fractures involving the orbital rims and walls were associated with severe complications.
CONCLUSIONS
Maxillofacial trauma, particularly those associated with midface, including ZMC fracture, Le Fort II, Le Fort III, and naso-orbito-ethmoidal fractures, can commonly cause ophthalmic complications and blindness in rare cases. Hence, every patient with maxillofacial trauma should undergo an ophthalmic examination and should be placed under close observation for necessary treatment when required.
目的
确定24个月期间与颌面创伤相关的眼科并发症的发生率和类型。
方法
对62例颌面创伤患者进行了一项机构前瞻性研究，以研究面部创伤与眼科并发症之间的相关性。
结果
据报告，道路交通事故是大多数研究创伤病例的主要病因。颧上颌复合体（ZMC）骨折与更多的眼科并发症相关，而涉及眶缘和眶壁的骨折与严重并发症相关。
结论
颌面创伤，特别是那些与面中部相关的创伤，包括ZMC骨折、Le Fort II型、Le Fort III型和鼻眶筛骨折，通常可导致眼科并发症，在罕见情况下可导致失明。因此，每位颌面创伤患者都应接受眼科检查，并应在需要时密切观察以便进行必要的治疗。
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