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饱受战争蹂躏国家的颅颌面创伤:发病率、管理差距及建议

Craniomaxillofacial trauma in war-torn nations: Incidence, management gaps, and recommendations.

作者信息

Adebusoye Favour Tope, Awuah Wireko Andrew, Alshareefy Yasir, Wellington Jack, Mani Shyamal, Ahmad Amal Olabisi, Tenkorang Pearl Ohenewaa, Abdul-Rahman Toufik, Denys Ovechkin

机构信息

Faculty of Medicine Sumy State University Sumy Ukraine.

Faculty of Medicine School of Medicine Trinity College Dublin Ireland.

出版信息

Acute Med Surg. 2023 Jul 30;10(1):e877. doi: 10.1002/ams2.877. eCollection 2023 Jan-Dec.

Abstract

Craniomaxillofacial trauma (CMFT) is a type of injury that affects the face, neck, and scalp, and includes facial bone fractures, dentoalveolar trauma, and soft tissue injuries. Work, traffic accidents, sports, and daily activities commonly cause these injuries. However, they are widespread in war-torn countries where armed conflict leads to a high incidence of CMFT. The lack of resources, health care infrastructure, and surgical personnel in these areas result in subpar treatment and poor patient outcomes, contributing to the high mortality and morbidity rates among war victims. The importance of a multidisciplinary approach to CMFT management cannot be overstated, but current obstacles, such as a lack of access to proper medical care and rehabilitation services, impede the development of effective treatments. CMFT treatment is complex and prohibitively expensive for war-torn nations to afford, necessitating international intervention to provide life-saving surgical procedures for those suffering from CMFT in conflict zones. Despite efforts to improve CMFT treatments in war-torn countries, more must be done to improve treatment outcomes. Data collection and research must also be improved in order to develop effective evidence-based treatment methods.

摘要

颅颌面创伤(CMFT)是一种影响面部、颈部和头皮的损伤,包括面部骨折、牙槽创伤和软组织损伤。工作、交通事故、运动和日常活动通常会导致这些损伤。然而,在饱受战争蹂躏的国家,这些损伤很普遍,武装冲突导致颅颌面创伤的高发病率。这些地区资源、医疗保健基础设施和外科人员的匮乏导致治疗不达标,患者预后不佳,导致战争受害者的高死亡率和发病率。多学科方法在颅颌面创伤管理中的重要性再怎么强调也不为过,但当前的障碍,如缺乏获得适当医疗护理和康复服务的机会,阻碍了有效治疗方法的发展。颅颌面创伤治疗复杂,饱受战争蹂躏的国家难以承受其高昂费用,因此需要国际干预,为冲突地区患有颅颌面创伤的人提供挽救生命的外科手术。尽管人们努力改善饱受战争蹂躏国家的颅颌面创伤治疗,但仍需做更多工作来改善治疗效果。还必须改进数据收集和研究,以开发有效的循证治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8282/10387589/58b5c8f6fa0f/AMS2-10-e877-g002.jpg

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