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骆驼相关的颅面损伤的外科治疗。

Surgical management of camel-related craniofacial injuries.

机构信息

Department of Surgery, Al Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.

Department of Otolaryngology, Al Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.

出版信息

Afr Health Sci. 2022 Sep;22(3):407-415. doi: 10.4314/ahs.v22i3.44.

DOI:10.4314/ahs.v22i3.44
PMID:36910381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9993317/
Abstract

BACKGROUND

There are no studies focused on the types and management of camel-related craniofacial injuries.

OBJECTIVES

We aimed to analyze the pattern of injuries that required surgical management and their specific operative treatment.

METHODS

We prospectively collected data of all patients who were admitted to Al Ain Hospital with camel-related craniofacial injuries that were treated operatively during the period of January 2015 to January 2020.

RESULTS

Eleven patients were studied; all were males having a median (range) age of 29 (19-66) years. Falling from a camel was the most common mechanism of injury (45.5 %) followed by camel bite (36.4 %). The most common injured region was the middle third of the face, which accounted for 56.5% of the bony fractures. Zygomatico-maxillary complex fractures were present in 60% of patients who fell while riding a camel. The most common surgical procedure performed in our patients was an open reduction with internal fixation (54.5%). There was no mortality.

CONCLUSIONS

camel-related craniofacial injuries are complex. The main mechanism of injury is falling from a camel on the face causing fractures of the zygomatico-maxillary complex. These fractures usually need open reduction with internal fixation. Taking safety precautions may help in injury prevention.

摘要

背景

目前尚无专门针对骆驼相关颅面损伤类型和处理方法的研究。

目的

我们旨在分析需要手术治疗的损伤类型及其具体的手术治疗方法。

方法

我们前瞻性地收集了 2015 年 1 月至 2020 年 1 月期间在艾因医院因骆驼相关颅面损伤而接受手术治疗的所有患者的数据。

结果

研究纳入 11 例患者,均为男性,年龄中位数(范围)为 29 岁(19-66 岁)。从骆驼上摔下是最常见的损伤机制(45.5%),其次是骆驼咬伤(36.4%)。面部中三分之一是最常见的受伤部位,占 56.5%的骨折。60%骑骆驼时摔倒的患者存在颧骨-上颌复合体骨折。我们的患者最常进行的手术是切开复位内固定(54.5%)。无死亡病例。

结论

骆驼相关颅面损伤较为复杂。主要的损伤机制是面部从骆驼上摔下导致颧骨-上颌复合体骨折。这些骨折通常需要切开复位内固定。采取安全预防措施可能有助于预防损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea7/9993317/008cf10f0551/AFHS2203-0407Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea7/9993317/1257e7ef8a28/AFHS2203-0407Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea7/9993317/f2f656897374/AFHS2203-0407Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea7/9993317/008cf10f0551/AFHS2203-0407Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea7/9993317/1257e7ef8a28/AFHS2203-0407Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea7/9993317/f2f656897374/AFHS2203-0407Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea7/9993317/008cf10f0551/AFHS2203-0407Fig3.jpg

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Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries.
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