Supraorbital roof fractures: A formidable entity with which to contend
Supraorbital roof fractures: A formidable entity with which to contend
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DOI：
10.1097/00000637-199703000-00006
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发表时间：
1997-03-01
影响因子：
1.5
通讯作者：
Vasconez, HC
中科院分区：
文献类型：
--
作者：
Martello, JY;Vasconez, HC
眶顶骨折并不常见。据报道，发病率在1%至5%之间。我们认为眶上顶骨折的发生率和发病率实际上更高。对1993年9月至1995年9月间收治的621例面部骨折患者的病历资料进行回顾性分析。参数包括患者特征;损伤机制;骨折特征;相关临床、计算机断层扫描和手术结果;相关颅骨和额窦骨折的存在;以及并发症发生率。58名患者（9.3%）有眶上顶骨折，使其成为最大的系列之一。平均年龄为31岁，受伤的主要机制是机动车事故。69%的患者伴有颅骨骨折，54%的患者伴有额窦骨折。其中31例为开放手术，32例为手术治疗。硬脑膜撕裂14例，外伤性脑膨出3例，眼球突出6例，搏动性眼球突出3例，眶尖综合征1例，持续性脑脊液漏3例，脑膜炎5例。大多数患者伴有颅内出血。眶上嵴骨折的发生率和发病率比以前认为的要高得多。病例的治疗应个体化，考虑移位、与颅骨和额窦骨折、硬脑膜撕裂和颅内出血的关系。
Supraorbital roof fractures are uncommon. The incidence has been quoted at between 1 and 5%. We believed that the incidence and morbidity of supraorbital roof fractures were actually higher. The charts of 621 inpatients with facial fractures between September 1993 and September 1995 were retrospectively reviewed. Parameters included patient characteristics; mechanism of injury; fracture characteristics; associated clinical, computed tomography, and operative findings; presence of associated skull and frontal sinus fractures; and complication rates. Fifty-eight patients (9.3%) had supraorbital roof fractures, making this one of the largest series. The average age was 31 years and the predominant mechanism of injury was motor vehicle accidents. Sixty-nine percent of the patients had associated skull fractures and 54% had frontal sinus fractures. Thirty-one of the cases were open and 32 cases were treated operatively. Dural tears were present in 14 patients, traumatic encephalocele in 3, proptosis in 6, pulsatile proptosis in 3, orbital apex syndrome in 1, persistent cerebrospinal fluid leak in 3, and meningitis in 5. A majority of the patients had associated intracranial bleeds. The incidence and morbidity of supraorbital roof fractures are much higher than previously thought. The treatment of cases should be individualized, taking into account displacement, association with skull and frontal sinus fractures, dural tears, and intracranial hemorrhage.