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頁籤選單縮合
題 名 | 嚴重顱顎顏面外傷之立即重建 |
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作 者 | 張衍爐; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 20:5 1987.09[民76.09] |
頁 次 | 頁369-378 |
分類號 | 416.413 |
關鍵詞 | 嚴重顱顎顏面外傷; 重建; |
語 文 | 中文(Chinese) |
中文摘要 | 嚴重顱顎顏面外傷的治療本來相當困難,但這幾年來,隨著經驗的累積,顱顏外科及顯微手術的進步,整形外科醫師對這種病例開始由傳統的保守療法進展為立卽整復重建而在短期內得到較佳的功能及外觀。本文報告13例病人的治療經驗,並歸納出六種處理原則:(1)使用電腦斷層攝影評估骨折;(2)立卽重建;(3)充足的手術視野;(4)精確的骨固定;必要時得同時做(5)骨移植或(6)皮瓣轉移。 |
英文摘要 | The treatment of massive craniomaxillofacial trauma can be extremely difficult. Over the past years, with the advances of craniofacial surgery and microvascular surgery, plastic surgeons have progressed from a conservative approach of debridement and delayed reconstruction to that of immediate reconstruction resulting in a better functional and esthetic restoration in a shorter period of time. Based on the results of treatment of 13 patients with massive craniomaxillofacial trauma treated at Chang Gung Memorial Hospital, the following principles of management of massive craniomaxillofacial trauma are proposed: (1) use of CT scan for accurate diagnosis; (2) immediate reconstruction; (3) wide exposure; (4) accurate interfragmental wiring; (5) primary bone grafting; (6) primary flap transfer. |
本系統中英文摘要資訊取自各篇刊載內容。