Two Hundred Ninety-Four Consecutive Facial Fractures in an Urban Trauma Center: Lessons Learned
Two Hundred Ninety-Four Consecutive Facial Fractures in an Urban Trauma Center: Lessons Learned
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DOI：
10.1097/01.prs.0000177687.83247.27
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发表时间：
2005-09-01
影响因子：
3.6
通讯作者：
Hollier, Larry H.
中科院分区：
文献类型：
--
作者：
Kelley, Patrick;Crawford, Marcus;Hollier, Larry H.
背景：面部创伤的治疗与无数潜在的并发症有关。城市创伤中心的患者群体相对缺乏依从性，以及居民参与这项护理的必要性。方法：这项研究回顾了189名患者，总计294例独立骨折在3.5年期间的治疗。结果：总体并发症发生率为7.8%。结论：以居民为主治医生的大容量I级创伤中心的经验证实，面部创伤手术可以以可接受的低并发症发生率进行。许多技术因素被认为是导致这一现象的原因，包括在大多数下颌骨骨折中使用微型钢板治疗，在涉及眼球的骨折中过度矫正眼眶体积，以及使用经结膜切开联合外侧泪小管切开进入下睑结构。背景：面部创伤的治疗与无数潜在的并发症有关。在城市创伤中心的患者群体中，患者群体相对缺乏依从性，以及居民参与这项护理的必要性，这可能会加剧这一问题。方法：这项研究回顾评估了189名患者，总计294例独立骨折，在3.5年的时间里接受治疗。结果：并发症发生率为7.8%。结论：以住院医师为主治医师的高容量I级创伤中心的经验证实，面部创伤手术的并发症发生率可以接受较低。许多技术因素被认为是导致这一现象的原因，包括在大多数下颌骨骨折中使用微型钢板治疗，在涉及眼球的骨折中过度矫正眼眶体积，以及使用经结膜切开联合外侧泪小管切开术进入下睑结构。(最后一次。重新构造外科手术116：42E，2005。)
Background: The treatment of facial trauma is associated with a myriad of potential complications. This may be compounded by the relative lack of compliance seen in the patient population within an urban trauma center and by the requisite involvement of residents in this care.Methods: This study retrospectively evaluated 189 patients with a total of 294 separate fractures treated over a 3.5-year period.Results: The overall rate of complications was 7.8 percent.Conclusions: The experience at a high-volume level I trauma center with residents as the primary physicians has confirmed that facial trauma surgery may be undertaken with an acceptably low complication rate. Numerous technical factors were thought to be responsible for this, including the use of miniplates for treatment in the majority of mandibular fractures, overcorrection of orbital volume in fractures involving the globe, and the use of a transconjunctival incision with a lateral canthotomy for access to the lower eyelid structures.Background: The treatment of facial trauma is associated with a myriad of potential complications. This may be compounded by the relative lack of compliance seen in the patient population within an urban trauma center and by the requisite involvement of residents in this care.Methods: This study retrospectively evaluated 189 patients with a total of 294 separate fractures treated over a 3.5-year period. Results: The overall rate of complications was 7.8 percent.Conclusions: The experience at a high-volume level I trauma center with residents as the primary physicians has confirmed that facial trauma surgery may be undertaken with an acceptably low complication rate. Numerous technical factors were thought to be responsible for this, including the use of miniplates for treatment in the majority of mandibular fractures, overcorrection of orbital volume in fractures involving the globe, and the use of a transconjunctival incision with a lateral canthotomy for access to the lower eyelid structures. (Plast. Reconstr. Surg. 116: 42e, 2005.)