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在巴尔的摩的轨道骨折特征和结果

Seray Er¹, Bashar Hassan^2,3, Joshua Yoon⁴

¹School of Medicine, University of Maryland.

The Journal of craniofacial surgery

|March 27, 2024

概括

由于暴力创伤造成的轨道骨折增加了术后眼部症状的风险. 迅速管理这些伤害对于改善患者的治疗结果和减少并发症至关重要.

科学领域:

眼科医生眼科眼科
创伤外科手术创伤外科
面部重建面部重建

背景情况:

轨道骨折是常见的伤害,但它们的特征和特定城市人口的结果尚未得到充分记录.
了解骨折模式和病因对于优化患者护理至关重要.

研究的目的:

研究两个主要创伤中心治疗的患者的轨道骨折的骨折模式,原因和术后结果.
确定与不良术后结果相关的风险因素.

主要方法:

在2015年1月至2019年12月期间,374名接受轨道骨折修复的患者进行了回顾性队列研究.
收集的数据包括骨折病因,严重程度,相关损伤和术后眼部症状.

主要成果:

暴力创伤占轨道骨折的47.9%.
中度到近乎完全的骨折和轨道底部干扰是常见的 (分别为67.4%和92.2%).
近一半的患者 (48.9%) 经历了手术后的眼部症状,暴力创伤患者的发病率更高 (57.1%对41.9%).

结论:

由于暴力创伤造成的轨道骨折与术后眼部症状的显著更高风险有关.
及时和适当地管理轨道骨折,特别是那些来自暴力机制的骨折,对于尽量减少视觉并发症的可能性至关重要.

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