面骨折模式与创伤性视神经病变之间的关联
Bashar Hassan1,2, Joshua Yoon1,3, Adekunle Elegbede2
1Division of Plastic and Reconstructive Surgery, R Adams Cowley Shock Trauma Center, Baltimore, MD.
The Journal of craniofacial surgery
|March 27, 2024
概括
创伤性视神经病变 (TON) 增加了面部创伤后视力损失的风险. 视通道和状鼻骨折与TON的发展密切相关,需要医生意识.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 放射学 放射学是一门学科.
背景情况:
- 创伤性视神经病变 (TON) 是面创伤的严重并发症.
- 大约50%的TON病例发生显著的视力丧失.
- 识别相关的骨折模式对于风险评估和管理至关重要.
研究的目的:
- 确定与创伤性视神经病变相关的最常见的面骨折模式.
- 分析特定骨折和TON发病率之间的相关性.
主要方法:
- 从2015-2017年进行的头骨面CT扫描的回顾性审查.
- 包括有轨道和/或面部骨折的成年患者.
- 通过眼科检查正式诊断出TON的患者的分析.
- 双变量和多变量逻辑回归以确定显著的骨折模式.
主要成果:
- 在574名患有轨道骨折的患者中,15名 (2.6%) 被诊断为TON.
- 视通道骨折显示TON的几率明显更高 (aOR 31.8).
- 状鼻骨折也增加了TON的几率 (aOR 8.1).
结论:
- 视通道和状鼻骨折是创伤性视神经病变风险增加的关键指标.
- 对这些关联的认识对于手术师和医生管理面创伤患者至关重要.
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