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面部中部骨折和上鼻病理之间的关系
Dong Wan Kim1, Soo Hyuk Lee1, Jun Ho Choi1
1Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.
Archives of craniofacial surgery
|July 7, 2023
概括
面部中部骨折手术后上鼻病变的发生率很低,为11.27%,通常在没有干预的情况下得到缓解. 涉及轨道壁的爆裂骨折是关键的危险因素.
科学领域:
- 口腔和牙面部外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
背景情况:
- 面部中部骨折通常会影响上鼻,可能导致病理.
- 了解骨折后的上鼻病理对于患者的治疗结果至关重要.
研究的目的:
- 为了确定鼻病理的发病率在接受开放缩小和内部固定 (ORIF) 中部面部骨折的患者.
- 在这个患者群体中识别导致上鼻病理的因素.
主要方法:
- 在10年内对接受ORIF治疗中脸部骨折的患者进行了回顾性分析.
- 用临床和CT扫描数据来识别上鼻病理.
- 统计分析检查了影响病理发展的因素.
主要成果:
- 大鼻腔病理的发生率为11.27%,其中鼻炎最常见.
- 大鼻病理与中枢和较低轨道壁的爆裂骨折有显著的关联.
- 人口统计学,并发病症和手术硬件并没有显著影响病理的发展.
结论:
- 在中面骨折的ORIF之后,术后大鼻病理发生在相对较低的发病率上.
- 大多数病例自发地消失,这表明对特定的术后管理的需求最小.
- 涉及轨道壁的爆发性骨折是大鼻病理学的重要预测因素.
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