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題 名 | 顏面創傷合併喉部鈍性傷害--病例報告=Facial Trauma Associated with Blunt Laryngeal Injuries--A Case Report |
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作 者 | 高啟原; 鍾景宏; 王東堯; 黃振勳; 林木源; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 11:2 2000.09[民89.09] |
頁 次 | 頁68-74 |
分類號 | 416.95 |
關鍵詞 | 喉部鈍性傷害; 顏面創傷; |
語 文 | 中文(Chinese) |
中文摘要 | 喉部鈍性傷害 (blunt laryngeal injuries) 並不多見而且很少獨自發生,通 常會合併頭部創傷、胸部創傷及顏面骨折等多重創傷。喉部軟組織及軟骨骨架廣泛破壞的傷害,容易被忽視而導致病患面對潛在嚴重的後果。本篇報告一位20歲女性,因車禍送至成功大學附設醫院外科急診求治,並會診口腔頭面外科醫師處理顏面創傷的問題。由臨床徵象及電腦斷層影像檢查,發現有喉部軟骨破裂。緊急會診胸腔外科醫師施行修補手術,並解決發生氣道窘迫的危險。術後12天病患出院。除因左側聲帶麻痺,聲喑啞,術後10個月各方面功能接恢復良好。 |
英文摘要 | Blunt laryngeal injuries are infrequent. Their occurrences are usually associated with multiple traumas such as head injuries, chest injuries and facial fractures. A wide range of damage. to the soft tissue and cartilaginous framework of the larynx may result from such injuries. However, signs of laryngeal injuries are easily overlooked, which may lead to potentially serious airway complications. We herein reported a case of 20-year-old female, which was sent to our emergency room following a traffic accident. She was referred to our service for management of facial laceration and jaw bone fractures. On examination, clinical and radiographic signs of laryngeal rupture were noticed. Chest surgeon was consulted and emergency repair of the laryngeal rupture was performed. Healing of laryngeal and orofacial wound was smooth. However, hoarseness was present due to left vocal cord paralysis. She was otherwise functioning well 10 months following the operation. |
本系統中英文摘要資訊取自各篇刊載內容。