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同时面部骨折:对患者,患病率和骨折模式的全国评估

Anna D Lee¹, Skyler K Palmer^2,3, Jacob B Hammond²

¹University of Colorado School of Medicine.

The Journal of craniofacial surgery

|June 30, 2025

概括

面部骨折经常与其他骨折一起发生,特别是勒福特型,状和轨道损伤,需要开放的减少内部固定 (ORIF). 对并发骨折的高度怀疑对于有效的患者管理至关重要.

科学领域:

整形外科手术整形外科手术
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:

面部骨折可能导致显著的发病率,并且经常存在多重伤害.
了解并发性面部骨折的患病率对于优化治疗策略至关重要.

研究的目的:

为了评估美国同时发生的面部骨折的患病率.
在手术治疗的面部损伤中识别相关骨折的模式.

主要方法:

一个国家无标识索赔数据库 (2010-2020) 的回顾性审查.
使用当前程序术语 (CPT) 代码识别同时接受面部骨折手术的患者.
处理的分类是开放的减少,开放的减少内部固定 (ORIF) 和封闭的减少.

主要成果:

分析了超过244,000名患者;最常见的骨折治疗是鼻骨骨折 (57%的闭合减少).
鼻鼻形 (NOE) 的ORIF具有32%的同时发生骨折的比率.
用ORIF治疗的勒福特型,骨和轨道骨折经常与其他面部骨折一起发生,患病率高达32%.

结论:

需要ORIF的勒福特型,骨和轨道骨折很可能会出现第二次并发的面部骨折.
临床医生应在患有这些损伤的患者中保持对相关骨折的高度怀疑指数.

关键词:

同时出现的面部骨折模式.面部骨折模式面部骨折模式

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