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題 名 | Maxillofacial Fractures--A Review of 417 Cases=上頜顏面骨折:417例回顧 |
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作 者 | 蔡佳靜; 鄭良信; 呂宗禧; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:4 民88.07-08 |
頁 次 | 頁298-303 |
分類號 | 416.211 |
關鍵詞 | 上頜顏面骨折; 閉鎖式復位; 開放式復位; Maxillofacial fracture; Closed reduction; Open reduction; |
語 文 | 英文(English) |
中文摘要 | 背景:由於打架互交通事故日漸增加,使得上頜顏面骨折的病例也逐日增多。臺 灣都會區像臺南新樓基督教醫院地區的交通工具是以低速摩托車為主,再加上本地騎 士多半不願意戴安全帽,使得本院上頜顏面骨折呈現特殊型態。 方法:我們自1989年到1998年總共收集417個上頜顏面骨折的病人,依發生的部位將 病患分為7組,討論其治療方式及預後。 結果:上頜顏面骨折病人年齡多集中在20至40歲,發生原因以車禍佔最多,而其中又 以摩托車(71%)為主要。鼻骨骨折佔大部份,顴骨骨折及下頜骨骨折次之。而下頜骨骨 折中以體部和下頜角為主,下頜骨髁狀突則較少。 結論:病人先控制流血和呼吸暢通及傷口縫合,但有些病人需要處理腦震盪或顱內出 血。等待局部水腫消退後,大部分的病人在局部麻醉下予以閉鎖式復位。然而,複雜 性的骨折往往在2星期內採取開放性的手術復位。另外,本地上頜顏面骨折的型態與國 外高速汽車事故為主的上頜顏面骨折型態並不相同。 |
英文摘要 | Background:The incidence of facial injury has significantly in Taiwan due to a rising number of traffic accidents in recent years. Otolaryngologists may provide emergency care for patients who havehave sustained facial trauma, Knowledge of the anatomy of the facial skeleton and of the potential injuries associated with each of the varlous types of facial injuries will facilitate effective management, Methods: The medical records of 417 patients with maxillofacial fractures occurring in the 10-year period from 1989 through 1998 were reviewed. Data collected included patient demographics, causes of injure, treatments. and outcomes. The injuries were classified into seven treatment groups; nasal bone, maxillar, zygomatic arch, zygomatic complex, mandibular. nasofrontal-ethmoidal complex, and multiple fractures. Results: The average age of the study population was 37.6years old(ranging from 5 to 86 years old); most of the cases resuted from motorcyscle accidents (71%). Of the 417 patients, nasal bone fracture was the most common injury, affecting 171 patients (41.0%). Almost half of the patients, 192(46%),were treated with closedd reduction under local anesthesia, Repair In most of the open reduction cses was performed under general anesthesia. Conclusions: Motorcycle accidents were the main cause of nasal bone, zygomatic complex, zygomatic in this series, the body is the most common site located in a rural area of Tainan where most traffic accidents are lowspeed motorcycle crashes. In this series, the body is the most common site of all mandibular fractures because of the role of motorcycle accidents In contrast, the condylar fracture is the most common fracture in otyer studles since most of the jnjuries in those were due to car accidents; |
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