包括眶底在内的面中部骨折并发症评估。
Evaluation of Complications of Midface Fracture Including the Orbital Floor.
作者信息
Sandhu Rameet, Sikarwar Vikas, Ojha Sushil, Upadhyay Dushyant, Agarwal Amit, Sharma Apoorva
机构信息
Department of Oral and Maxillofacial Surgery, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, India.
Otolaryngology and Head and Neck Surgery, Govt. Doon Medical College, Dehradun, Uttarakhand, India.
出版信息
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2109-S2111. doi: 10.4103/jpbs.jpbs_75_24. Epub 2024 May 13.
BACKGROUND
Choosing an appropriate course of treatment for midface fracture can be challenging due to the variable presentations of midfacial fractures and concurrent orbital floor injuries.
OBJECTIVES
To evaluate complications of midface fracture including the orbital floor.
MATERIALS AND METHODS
It was a cross-sectional study carried out on 456 patients diagnosed with midface fracture, including the orbital floor, clinically and radiographically. The computed tomography radiograph of each study participant was evaluated. There was a thorough clinical assessment of each study participant.
RESULTS
There were complications like laceration (47.3%), hematoma (54.2%), infraorbital nerve paraesthesia (13.05%), Contusio bulbi (13.30%), and diplopia (13.35%). No complications were observed in 8.25% of study participants. The most common complication was laceration.
CONCLUSION
The eyeball, orbit, soft tissues, and surrounding structures should be precisely examined clinically and radiologically in midface fractures.
背景
由于面中部骨折的表现多样以及并发眶底损伤，为面中部骨折选择合适的治疗方案具有挑战性。
目的
评估面中部骨折的并发症，包括眶底并发症。
材料与方法
这是一项横断面研究，对456例经临床和影像学诊断为面中部骨折（包括眶底骨折）的患者进行研究。对每位研究参与者的计算机断层扫描X线片进行评估，并对每位研究参与者进行全面的临床评估。
结果
出现了如撕裂伤（47.3%）、血肿（54.2%）、眶下神经感觉异常（13.05%）、眼球挫伤（13.30%）和复视（13.35%）等并发症。8.25%的研究参与者未观察到并发症。最常见的并发症是撕裂伤。
结论
对于面中部骨折，应在临床和影像学上对眼球、眼眶、软组织及周围结构进行精确检查。
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