早期隔膜整形与急性鼻腔骨折的封闭缩小:系统性审查和元分析
Elizabeth W Wadsworth1, Kelsey A Duckett1, Shaun A Nguyen1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
概括
与闭合缩小相比,急性鼻骨折的开放式阴道整形术会导致较少的并发症,如持续性阻塞和需要修复手术. 建议进行进一步的前性研究.
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
- 医学研究 医学研究
背景情况:
- 急性鼻骨折需要精确的管理,以防止长期的美容和功能问题.
- 目前对急性鼻腔骨折的管理策略缺乏共识,其中包括闭合鼻腔和/或隔膜缩小 (CN/SR) 或开放的隔膜整形.
- 对比这些不同的方法的结果对于优化患者护理至关重要.
研究的目的:
- 系统地评估和比较闭合鼻腔和/或隔膜缩小 (CN/SR) 与开放的隔膜整形治疗急性鼻腔骨折的结果.
- 评估与每个治疗方法相关的并发症的综合频率.
主要方法:
- 对PubMed,Scopus和CINAHL数据库进行了系统审查.
- 分析包括了对患有急性鼻骨折的成年患者的研究,这些患者在受伤后3周内接受治疗,并将CN/SR与开放式血栓整形进行比较.
- 分析的结果包括持续阻塞,美容形和需要修复手术.
主要成果:
- 分析包括27项研究,涉及1117名患者 (712名CN/SR,423名开放方法).
- 与开放式治疗组相比,接受CN/SR治疗的患者的持续阻塞率显著更高 (22.2%对5.9%),并且需要更频繁的修复手术 (30.9%对6.0%).
- 在所提供的摘要中,对于化品变形没有发现任何显著差异.
结论:
- 在鼻腔骨折的急性阶段,开放式血栓整形与更低的并发症发生率有关.
- 研究结果表明,开放式阴道整形可能是治疗急性鼻腔骨折的更有效方法.
- 建议进行进一步的前性试验,以验证这些元分析结果.
关键词:
鼻腔堵塞 鼻腔堵塞 鼻腔堵塞鼻塞巴尔形 鼻塞巴尔形 鼻塞巴尔形鼻骨折 鼻骨折 鼻骨折减少鼻塞普塔尔的使用.七层整形术 (septoplasty) 是一种整形手术.隔膜鼻膜整形手术 (septorhinoplasty) 是一个非常重要的手术.更多相关视频
07:30Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
11.0K
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
358
相关概念视频
01:30Epistaxis
134
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
134
01:29Suctioning the Nasopharyngeal Airway
283
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
283
01:27Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K