Begall K, Marggraff G, Schüler S, Freigang B
Klinik für Hals-, Nasen- und Ohrenheilkunde, Medizinischen Akademie Magdeburg.
HNO. 1994 Jul;42(7):405-12.
The large number of craniocerebral injuries with fractured bones entails an essential field of diagnostic and therapeutic activities for the hospital-based otorhinolaryngologist. It is only with the active involvement of experienced clinicians that paranasal sinuses can be inspected, lesions of the dura mater closed and functional structures of the petrous bone restored. Over a twelve-year period, 311 injuries of the base of the skull were treated in the Magdeburg Department of Otorhinolaryngology. Clinical findings, complications and therapeutic methods used during acute treatment, as well as permanent and late effects in patients with anterior and posterior skull base fractures were analyzed in a comparative approach. Despite early surgery of frontal base fractures, late sequelae have been extensive and resulted in far-reaching changes in patients injured. Temporal bone fractures have presented less problems following mainly conservative acute treatment, with late sequelae exclusively comprising local symptoms in the area of the fracture. Analysis of the present results of treatment demonstrates that otorhinolaryngologists, in cooperation with neurosurgeons, traumatologists, oral surgeons, ophthalmologists, neurologists and intensive care physicians, can efficiently and adequately treat fractures of the base of the skull.
大量伴有骨折的颅脑损伤为医院的耳鼻咽喉科医生带来了一个重要的诊断和治疗领域。只有在经验丰富的临床医生积极参与下，才能检查鼻窦、闭合硬脑膜损伤并修复岩骨的功能结构。在十二年的时间里，马格德堡耳鼻咽喉科治疗了311例颅底损伤。采用比较的方法分析了急性治疗期间的临床发现、并发症和治疗方法，以及前后颅底骨折患者的永久性和晚期影响。尽管对额底骨折进行了早期手术，但晚期后遗症广泛，给受伤患者带来了深远的变化。颞骨骨折主要采用保守的急性治疗后问题较少，晚期后遗症仅包括骨折部位的局部症状。对目前治疗结果的分析表明，耳鼻咽喉科医生与神经外科医生、创伤科医生、口腔外科医生、眼科医生、神经科医生和重症监护医生合作，可以有效且充分地治疗颅底骨折。
