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眼眶骨膜下脓肿及失明并发轻度移位的颧骨复合体骨折。

Orbital subperiosteal abscess and blindness complicating a minimally displaced zygomatic complex fracture.

作者信息

Gilhooly M G, Falconer D T, Wood G A

机构信息

Department of Oral and Maxillofacial Surgery, Glan Clwyd Hospital, Bodelwyddan, Clwyd.

出版信息

Br J Oral Maxillofac Surg. 1995 Jun;33(3):185-8. doi: 10.1016/0266-4356(95)90295-3.

DOI:10.1016/0266-4356(95)90295-3
PMID:7654666
Abstract

A case of orbital subperiosteal abscess (SPA) complicating a minimally displaced zygomatic complex (ZMC) fracture is reported and the aetiology and management of this potentially life-threatening condition is discussed. The value of CT scanning in staging orbital infection and determining the site of the abscess and involved paranasal sinuses is emphasised. The correct interpretation of a lateral skull radiograph with the patient brow up may have lead to earlier diagnosis and treatment.

摘要

报告了一例眶骨膜下脓肿(SPA)并发轻度移位的颧骨复合体(ZMC)骨折的病例,并讨论了这种潜在威胁生命状况的病因及治疗。强调了CT扫描在眼眶感染分期、确定脓肿部位及受累鼻窦方面的价值。正确解读患者眉弓向上的头颅侧位X线片可能会实现更早的诊断和治疗。

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引用本文的文献

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Orbital fracture leading to severe multifascial space infection including the parapharyngeal space: a report of a case and review of the literature.眼眶骨折导致包括咽旁间隙在内的严重多间隙感染:1例报告及文献复习
Craniomaxillofac Trauma Reconstr. 2014 Sep;7(3):237-44. doi: 10.1055/s-0034-1371974. Epub 2014 Mar 17.
2
The evaluation of efficacy of post-operative antibiotics in the open reduction of the zygomatic and mandibular fracture: a prospective trial.术后抗生素在颧骨和下颌骨骨折切开复位术中的疗效评估:一项前瞻性试验。
J Maxillofac Oral Surg. 2014 Jun;13(2):165-75. doi: 10.1007/s12663-013-0492-9. Epub 2013 Apr 4.
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Blindness following facial fracture: treatment modalities and outcomes.
面部骨折后失明:治疗方式与结果
Craniomaxillofac Trauma Reconstr. 2009 Oct;2(3):117-24. doi: 10.1055/s-0029-1215874.