颈椎损伤合并面部创伤：发病率及处理
Cervical spine injury complicating facial trauma: incidence and management.
作者信息
Merritt R M, Williams M F
机构信息
Division of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta 30912-4060, USA.
出版信息
Am J Otolaryngol. 1997 Jul-Aug;18(4):235-8. doi: 10.1016/s0196-0709(97)90002-8.
PURPOSE
To review the impact of concomitant cervical spine injury on the management of facial fractures in a tertiary care institution via a retrospective chart review.
PATIENTS AND METHODS
Within the past 10 years, 1,750 consecutive patients presented to our institution with facial fractures. Thirty-two had concomitant cervical spine injury. Five were transferred or died before treatment. The remaining 27 charts were reviewed in detail.
RESULTS
The incidence of cervical spine injury among patients with facial fractures in our study was 1.8%. There were no treatment delays attributed to these injuries. Of note was the inaccuracy of lateral cervical spine films in 9 of 27 cases (33%).
CONCLUSION
Although uncommon, cervical spine injury must be thoroughly ruled out before evaluation and management of facial trauma. Concomitant cervical spine injury should not delay appropriate and timely treatment of facial fractures because adequate means of intraoperative stabilization are readily available.
目的
通过回顾性图表审查，评估在一家三级医疗机构中，合并颈椎损伤对面部骨折治疗的影响。
患者与方法
在过去10年中，1750例连续因面部骨折前来我院就诊的患者。其中32例合并颈椎损伤。5例在治疗前转诊或死亡。对其余27份病历进行了详细审查。
结果
在我们的研究中，面部骨折患者中颈椎损伤的发生率为1.8%。这些损伤未导致治疗延迟。值得注意的是，27例中有9例（33%）颈椎侧位片不准确。
结论
虽然颈椎损伤并不常见，但在评估和处理面部创伤之前必须彻底排除。合并颈椎损伤不应延迟对面部骨折进行适当及时的治疗，因为术中稳定的适当方法很容易获得。
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