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題 名 | Galeal Frontalis Flap for Posterior Table Fracture of Frontal Sinus--Two Cases=帽狀腱膜額肌皮瓣於額竇骨折的應用--病例報告 |
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作 者 | 吳宗軒; 謝承翰; 林煌基; 鄭舉緒; 林育賢; 羅國銓; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 22:2 2013.06[民102.06] |
頁 次 | 頁125-132 |
分類號 | 416.413 |
關鍵詞 | 額竇骨折; 帽狀腱膜額肌皮瓣; Frontal sinus fracture; Galeal frontalis flap; |
語 文 | 英文(English) |
中文摘要 | 背景:額竇骨折相對於其他的顏面骨折而言是較少見的,但是往往會伴隨其他相關的傷害。為了避免外觀的變形及其他嚴重的併發症,額竇骨折的重建便顯得十分重要。目的及目標:我們提出兩個複雜性額竇骨折的病例報告。並且使用帽狀腱膜額肌皮瓣來進行額竇骨折的重建。材料及方法:我們發表兩個複雜性額竇骨折的病例報告。第一個病例是遭受車禍的23歲男性。左側額葉顱內出血,顱內有氣體,左側額竇開放式骨折(前後壁板都有骨折),另外也有顏面骨的骨折。第二個病例是出車禍的25歲男性,右側額葉顱內出血外,右側額竇也有開放式骨折(前後壁板都有骨折),亦伴隨有顏面骨的骨折。兩位病患都接受了顏面骨的重建,及額竇骨化術,並使用帽狀腱膜額肌皮瓣來填塞額竇。結果:治療追蹤的五個月裡,兩位病患並沒有發生像黏液囊及中樞神經感染之類的併發症。結論:帽狀腱膜額肌皮瓣有著豐富的血液循環,是我們用來填塞額竇的一個好選擇。這個皮瓣能抵抗感染並且不容易被吸收,同時有很少的供應區後遺症。 |
英文摘要 | Background:The fracture of the frontal sinus is the relatively uncommon fracture of the maxillofacial area. It may complicate with other associated injuries. The reconstruction of the frontal sinus is important to avoid cosmetic deformities and other serious complications.Aim and Objectives:The objective of this study is to present two patients with the complex frontal sinus fracture who were reconstructed with the galeal frontalis flap.Materials and Methods:We present two cases about the complex frontal sinus fracture. The first patient was a 23-year-old man who suffered from a traffic accident. Left frontal intracranial hemorrhage, pneumocephalus, left frontal sinus open fracture (anterior table & posterior table fractures) and facial bone fracture were noted.The second patient was a 25-year-old man who also suffered from a traffic accident. Right frontal intracranial hemorrhages, right frontal sinus open fracture (anterior table & posterior table fractures) and facial bone fracture were noted.The reconstruction of the facial bone fracture was done. The cranialization and frontal sinus obliteration with the galeal frontalis myofascial flap were performed, too.Results:During the 5-month follow-up, we found there were no signs of complication (such as mucoceles and the central nervous system infection).Conclusion:The galeal frontalis myofascial flap is highly vascularized and is a good choice for the frontal sinus obliteration. It can resist resorption and infection with minimal complication. |
本系統中英文摘要資訊取自各篇刊載內容。