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颅颌面粉碎性损伤的延迟手术干预:一例报告及文献综述

Delayed Surgical Intervention in Cranio-Maxillofacial Splinter Injury: Report of a Case and A Literature Review.

作者信息

Singh Shagun

机构信息

Department of Oral and Maxillofacial Surgery, 3 Corps Dental Unit, Armed Forces, Dimapur, India.

出版信息

J Maxillofac Oral Surg. 2024 Apr;23(2):394-401. doi: 10.1007/s12663-023-02061-9. Epub 2023 Dec 11.

Abstract

INTRODUCTION

In the context of Indian combat scenario, maxillofacial injuries from gunshots are uncommon.

METHODS

The first section of this study is a case report of a rare instance of metal foreign bodies that were lodged in the parapharyngeal space, deeper to the deep lobe of the parotid right next to the carotid space in the neck. The second section focusses on the unique treatment for blast injuries as well as the variety of imaging procedures that are readily available to assist with surgery, such as plain film, CT, angiography, and occasionally MR imaging.

RESULT AND CONCLUSION

According to the study, understanding the pertinent anatomy, precise imaging of the penetrating object in relation to vital structures, meticulously planned and conducted surgical removal of the foreign body, and repair of damaged structures are the key elements of a successful treatment.

摘要

引言

在印度的战斗场景中,枪伤导致的颌面损伤并不常见。

方法

本研究的第一部分是一个病例报告,讲述了金属异物罕见地嵌顿于咽旁间隙,该间隙位于颈部颈动脉间隙旁腮腺深叶的深部。第二部分重点介绍了爆炸伤的独特治疗方法以及各种有助于手术的成像程序,如平片、CT、血管造影,偶尔还有磁共振成像。

结果与结论

根据该研究,了解相关解剖结构、对穿透物体与重要结构的精确成像、精心规划并实施的异物手术取出以及受损结构的修复是成功治疗的关键要素。

相似文献

本文引用的文献

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US-guided Localization and Removal of Soft-Tissue Foreign Bodies.超声引导下软组织异物的定位和取出。
Radiographics. 2020 Jul-Aug;40(4):1188-1195. doi: 10.1148/rg.2020200001. Epub 2020 May 29.
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Anesthetic Considerations for Oral, Maxillofacial, and Neck Trauma.口腔、颌面及颈部创伤的麻醉考量
Otolaryngol Clin North Am. 2019 Dec;52(6):1019-1035. doi: 10.1016/j.otc.2019.08.004. Epub 2019 Sep 17.
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Avulsive Soft Tissue Injuries.撕脱性软组织损伤
Atlas Oral Maxillofac Surg Clin North Am. 2019 Sep;27(2):135-142. doi: 10.1016/j.cxom.2019.05.005. Epub 2019 Jun 22.
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High-Velocity Ballistic Injuries Inflicted to the Maxillofacial Region.颌面区域遭受的高速弹道伤。
J Craniofac Surg. 2019 Sep;30(6):e511-e514. doi: 10.1097/SCS.0000000000005418.
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Penetrating Foreign Bodies in Head and Neck Trauma: A Surgical Challenge.头颈部创伤中的穿透性异物:一项外科挑战。
Craniomaxillofac Trauma Reconstr. 2018 Sep;11(3):172-182. doi: 10.1055/s-0038-1642035. Epub 2018 Apr 24.

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