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口腔颌面部创伤的急诊科处理。

Emergency Department Management of Maxillofacial Trauma.

机构信息

Resident Physician, Department of Emergency Medicine, New York-Presbyterian, New York, NY.

Geisel School of Medicine at Dartmouth, Hanover, NH.

出版信息

Emerg Med Pract. 2024 Oct 15;26(Suppl 10):1-33.

Abstract

Patients with maxillofacial trauma require careful evaluation due to the anatomical proximity of the maxillofacial region to the head and neck. Facial trauma can lead to life-threatening airway compromise or hemorrhage, or permanent facial deformity. Although the Advanced Trauma Life Support guidelines provide a framework for the management of trauma patients, they do not provide a detailed reference for many subtle or complex facial injuries. In addition to an overview of maxillofacial trauma pathophysiology, associated injuries, and physical examination, this review will also discuss relevant imaging, treatment, and disposition plans.

摘要

颌面创伤患者需要仔细评估,因为颌面区域与头颈部解剖位置相邻。面部创伤可导致危及生命的气道阻塞或出血,或永久性面部畸形。尽管高级创伤生命支持指南为创伤患者的管理提供了框架,但它们并未为许多微妙或复杂的面部损伤提供详细参考。除了对颌面创伤病理生理学、相关损伤和体格检查进行概述外,本文还将讨论相关的影像学、治疗和处置计划。

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