治疗结果与前额外流通道骨折的保守管理
Steven Kennedy Dennis1, Toby O Steele1, Amarbir S Gill1
1Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, Sacramento, California, USA.
概括
非手术治疗非阻塞前额外流通道 (FSOT) 损伤显示出高的再生率 (91%-98%). 救援手术的低率 (2%) 和并发症的低率 (2%) 支持这种FSOT骨折的方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 面部整形手术 面部整形手术
背景情况:
- 从历史上看,早期手术干预是额头鼻外流通道 (FSOT) 骨折的标准.
- 转向非手术或延迟治疗正在发生,但迹象和结果尚不清楚.
- 这项研究研究了FSOT损伤的非手术治疗.
研究的目的:
- 评估非手术治疗的FSOT伤害的放射性指标.
- 评估非手术管理的FSOT损伤中的鼻再发气和并发症率.
- 为了确定特定的FSOT骨折模式的非手术治疗的可行性.
主要方法:
- 在第三级护理中心对FSOT伤害 (2005-2019) 的回顾性队列研究.
- 额头骨 (FO) 和额头隙 (FR) 骨折模式的放射分析 (专利,中断,阻碍).
- >42天的随访,不包括立即手术干预的患者的鼻再生,手术救援和并发症率的记录.
主要成果:
- 44名患者 (88个鼻) 符合纳入标准.
- 非阻塞的FSOT伤害显示出高的再发气率:FO的91%,FR的98%.
- 观察到手术救援率低 (2%) 和并发症率低 (2%,包括粘膜细胞和脑脊髓液泄漏).
- 没有发现FO/FR骨折模式与再发气或需要手术之间的相关性.
结论:
- 非手术治疗是非阻塞性FSOT损伤的可行策略.
- 较高的鼻再通气率 (91%-98%) 和较低的并发症/救援手术率 (2%) 支持这种方法.
- 放射性特征无法可靠地预测鼻再气化的结果.
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