在前额鼻腔骨折的保守与外科手术治疗中的说明和并发症
Jeison De Guzman1, Apanjit Sahi1, Grishma Patel1
1University of Maryland School of Medicine.
The Journal of craniofacial surgery
|May 13, 2025
概括
大多数额头鼻骨折 (FSF) 是保守地管理. 复杂的FSF有位移骨折,CSF泄漏或肺脑病,往往需要手术干预 (ORIF) 来预防并发症.
科学领域:
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
- 面部重建手术 面部重建手术
背景情况:
- 额头鼻腔骨折 (FSF) 呈现出各种伤害严重程度的频谱.
- 对于FSF来说,管理决策对于防止并发症至关重要.
- 了解影响保守治疗与手术治疗的因素至关重要.
研究的目的:
- 为了确定患者和骨折特征,指导FSF的保守与外科治疗.
- 为了比较保守和外科FSF管理方法之间的并发症率.
主要方法:
- 从2018-2022年对201名FSF患者进行的回顾性队列研究.
- 对保守与外科治疗 (开放式减少和内部固定 - ORIF) 的指示进行分析.
- 管理组之间的并发症发生率的比较,使用描述性统计和假设测试.
主要成果:
- 大多数FSF (74.1%) 被保守地管理.
- 在明显移位前/后表骨折,额头鼻外流通道 (FSOT) 损伤,脑脊液 (CSF) 泄漏或肺脑病患者中,ORIF更常见.
- 与保守管理相比,接受ORIF的患者头皮麻木的发病率更高.
结论:
- 保守的管理是FSF的主要方法.
- 复杂的骨折特征,包括移位,FSOT损伤,CSF泄漏和肺脑病,是ORIF的强有力的指标.
- 调查结果有助于制定最佳FSF治疗策略的决策.
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