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面部骨折规划与管理的简化工作分类法

A Simplified Working Classification for Planning and Management of Facial Fractures.

作者信息

Sharma Mukesh K, Saini Rahul, Boyidi Bulli B, Babu Vaddi S

机构信息

Department of Burns and Plastic Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.

出版信息

Indian J Plast Surg. 2025 Jan 28;58(4):312-316. doi: 10.1055/s-0045-1802344. eCollection 2025 Aug.

DOI:10.1055/s-0045-1802344
PMID:40894825
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12396879/
Abstract

Facial fractures are commonly encountered by plastic and maxillofacial surgeons. Although very diversified in nature, their treatment planning requires a thorough knowledge of the facial anatomy and advanced treatment modalities. With the advent of three-dimensional computed tomography, it has become a lot easier to diagnose and treat them accordingly. It is important to categorize facial fractures for an effective liaison between the radiologists, surgeons, and medical staff involved in their management. Various classification schemes have been made to classify them, but they are cumbersome to remember and communicate among treating doctors. We present a new yet simple facial fracture classification that is based on the facial buttresses involved. This helps in better and uniform management of fracture patterns and also anticipates future complications that may arise from such fractures, if any.

摘要

面部骨折是整形外科和颌面外科医生常见的病例。尽管其本质非常多样化,但其治疗方案需要对面部解剖结构有全面的了解以及掌握先进的治疗方法。随着三维计算机断层扫描技术的出现,相应地诊断和治疗这些骨折变得容易得多。对面部骨折进行分类对于参与其治疗的放射科医生、外科医生和医护人员之间的有效沟通很重要。已经制定了各种分类方案来对它们进行分类,但这些方案在治疗医生之间难以记忆和交流。我们提出了一种基于受累面部支柱的新的但简单的面部骨折分类方法。这有助于更好且统一地管理骨折类型,并且还能预测此类骨折可能出现的未来并发症(如果有的话)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/8ecf00421be1/10-1055-s-0045-1802344-i24102688-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/26b6e7bf7b80/10-1055-s-0045-1802344-i24102688-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/5bb8c5e0a367/10-1055-s-0045-1802344-i24102688-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/3303b56717c9/10-1055-s-0045-1802344-i24102688-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/8ecf00421be1/10-1055-s-0045-1802344-i24102688-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/26b6e7bf7b80/10-1055-s-0045-1802344-i24102688-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/5bb8c5e0a367/10-1055-s-0045-1802344-i24102688-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/3303b56717c9/10-1055-s-0045-1802344-i24102688-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1427/12396879/8ecf00421be1/10-1055-s-0045-1802344-i24102688-4.jpg

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本文引用的文献

1
Do Radiologists and Surgeons Speak the Same Language? A Retrospective Review of Facial Trauma.放射科医生和外科医生说的是同一种语言吗?面部创伤的回顾性研究
AJR Am J Roentgenol. 2016 Nov;207(5):1070-1076. doi: 10.2214/AJR.15.15901. Epub 2016 Aug 24.
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Evidence-Based Facial Fracture Management.基于证据的面部骨折治疗
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Radiographics. 2013 Jan-Feb;33(1):3-19. doi: 10.1148/rg.331125080.
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Blunt polytrauma: evaluation with 64-section whole-body CT angiography.钝性多发伤:64 层螺旋全身 CT 血管造影评估。
Radiographics. 2012 May-Jun;32(3):609-31. doi: 10.1148/rg.323115099.
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Radiographics. 2006 May-Jun;26(3):783-93. doi: 10.1148/rg.263045710.
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