面部中部损伤时鼻背的处理。颅骨骨移植的适应证。
Management of the nasal dorsum in central facial injuries. Indications for calvarial bone grafting.
作者信息
Frodel J L
机构信息
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Md.
出版信息
Arch Otolaryngol Head Neck Surg. 1995 Mar;121(3):307-12. doi: 10.1001/archotol.1995.01890030045007.
OBJECTIVE
To demonstrate criteria for primary calvarial bone grafting in central facial fractures.
DESIGN
Retrospective, cohort study.
SETTING
University of Iowa Hospitals and Clinics (Iowa City) and The Johns Hopkins Hospital (Baltimore, Md).
PATIENTS
Consecutive sample of 27 patients with nasoethmoidal fractures.
INTERVENTION
Preoperative and intraoperative analysis with surgical intervention. Patients with the following criterion received primal dorsal calvarial bone grafts: loss of dorsal nasal support in the upper bony and lower cartilaginous dorsum.
MAIN OUTCOME MEASURE
Prevention of cicatricial soft-tissue contraction of the nose with primary bony dorsal reconstruction and/or nasal bone grafting.
CONCLUSION
In certain severe cases of nasal bony and cartilaginous comminution, primary dorsal nasal calvarial bone grafts are indicated.
目的
阐述中央面部骨折一期颅骨骨移植的标准。
设计
回顾性队列研究。
地点
爱荷华大学医院及诊所（爱荷华城）和约翰霍普金斯医院（马里兰州巴尔的摩）。
患者
27例鼻筛骨骨折患者的连续样本。
干预措施
通过手术干预进行术前和术中分析。符合以下标准的患者接受颅骨顶部骨移植：鼻背上部骨质和下部软骨性鼻背的鼻背支撑缺失。
主要观察指标
通过一期鼻骨背侧重建和/或鼻骨移植预防鼻部瘢痕性软组织挛缩。
结论
在某些严重的鼻骨和软骨粉碎性骨折病例中，需进行一期鼻背颅骨骨移植。
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