Ivanović A, Jović N, Vukelić-Marković S
Clinic for Ear, Nose, and Throat, Military Medical Academy, Beograd, Yugoslavia.
J Trauma. 1996 Mar;40(3 Suppl):S177-9. doi: 10.1097/00005373-199603001-00039.
Ninety frontoethmoidal fractures, as a result of war injuries from 1991 to 1994, produced 0.7% of all war injuries (i.e., 9% of head and neck injuries treated in the Military Medical Academy, Belgrade). These injuries were mainly part of complex endocranial, orbital, and zygomaticomaxillary injuries, and were rarely isolated. The central part of these injuries were in the ethmoidal region, which was isolatedly injured in 23.3% of the cases. There was 53.3% injuries with small fragments of explosive devices inside the wound, and 16.7% of through-and-through wounds were caused by sniper bullets. The priority over all definitive operative procedures belonged to osteoplasties whenever possible, because the primary goal was protection of life. About 3.3% of the patients died because of severe hemorrhagic shock and endocranial injury. There was only one case of recurrent meningitis. Most of the patients had multiple injuries and were mutually operated on by two different surgical teams.
1991年至1994年战争伤导致90例额筛窦骨折，占所有战争伤的0.7%（即贝尔格莱德军事医学院治疗的头颈部损伤的9%）。这些损伤主要是复杂的颅内、眼眶和颧上颌损伤的一部分，很少单独出现。这些损伤的中心部位在筛窦区域，23.3%的病例该区域单独受伤。53.3%的伤口内有爆炸装置小碎片，16.7%的贯通伤由狙击子弹造成。只要有可能，所有确定性手术操作的首要任务是骨成形术，因为首要目标是保护生命。约3.3%的患者因严重失血性休克和颅内损伤死亡。仅1例复发性脑膜炎。大多数患者有多处损伤，由两个不同的手术团队相互进行手术。
