鼻骨折:急性,亚急性和延迟的治疗方法
1Department of Otolaryngology-Head & Neck Surgery, Columbia University Irving Medical Center, 180 Fort Washington Avenue HP8, New York, NY 10032, USA.
Otolaryngologic clinics of North America
|June 23, 2023
概括
鼻腔骨折的早期闭合治疗可能会导致高的修复率,特别是在隔膜干扰的情况下. 延迟开放干预为复杂的鼻骨折提供了更好的结果和形纠正.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
背景情况:
- 鼻子骨折是常见的伤害.
- 早期的封闭性减少 (<14天) 通常被认为是具有成本效益的,并提高了患者的满意度.
- 在最初的封闭缩减后,观察到高的二次开放治疗率,特别是在隔膜干扰的情况下.
研究的目的:
- 为了评估早期关闭与延迟开放治疗鼻骨折的有效性.
- 确定影响治疗结果的因素,包括隔膜干预和干预时间.
主要方法:
- 对鼻子骨折病例的回顾性分析.
- 早期关闭减少和延迟开放减少 (>3个月) 之间的结果比较.
- 评估修订率,患者满意度和形的纠正.
主要成果:
- 封闭性减少鼻骨折,特别是那些有显著的隔膜干扰,经常需要随后的开放性手术.
- 与早期关闭技术相比,延迟开放干预 (> 3 个月) 的修订率较低.
- 开放的方法促进了刚性固定,提供了更好的支持,并允许纠正复杂的形.
结论:
- 推迟开放治疗鼻骨折,特别是涉及隔膜的复杂骨折,提供了更好的结果和更低的修订率.
- 开放式减轻有利于纠正严重的骨偏差,L-strut变形和鼻问题.
- 根据骨折的复杂性和隔膜干扰,应仔细考虑鼻子骨折管理的时间和方法.
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