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  1 / 2925 MEDLINE  
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[PMID]:28468170
[Au] Autor:Yüksel MO; Gürbüz MS; Okay HO; Kabalar ME
[Ad] Endereço:*Department of Neurosurgery, Erzurum Bolge Training and Research Hospital, Erzurum †Department of Neurosurgery, Safa Hospital, Istanbul ‡Department of Pathology, Erzurum Bolge Training and Research Hospital, Erzurum, Turkey.
[Ti] Título:Might Trauma Be a Triggering Factor for Craniofacial Fibrous Dysplasia?
[So] Source:J Craniofac Surg;28(3):801-802, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Fibrous dysplasia (FD) is a rare, benign disease of unclear etiology where normal bone is replaced with abnormal fibrous and weak osseous tissue. Any bone of the skeleton might be involved but skull is one of the most commonly affected sites. Fibrous dysplasia is known to be caused by a genetic mutation leading to inappropriate proliferation and differentiation of osteoblastic cells. However; it is not known whether any triggering factor exists which might contribute to this genetic mutation. The authors postulated that trauma might be a triggering factor for this disease. Trauma, as a triggering factor, has not been reported to be clearly linked to FD in the literature so far. Through this perspective; the authors report a patient of fronto-orbital fibrous dysplasia developing 6 years after a fronto-orbital skull fracture, at the same localization of the fracture line.
[Mh] Termos MeSH primário: Ossos Faciais/diagnóstico por imagem
Displasia Fibrosa Poliostótica/etiologia
Fraturas Orbitárias/complicações
[Mh] Termos MeSH secundário: Adulto
Displasia Fibrosa Poliostótica/diagnóstico
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Fraturas Orbitárias/diagnóstico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003453


  2 / 2925 MEDLINE  
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[PMID]:28468199
[Au] Autor:Cho SE; Shin HS; Tak MS; Kang SG; Lee YS; Kim HS; Kim CH
[Ad] Endereço:*Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Seoul Hospital, Seoul †Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
[Ti] Título:A Rare Complication of Infraorbital Nerve Hyperesthesia in Surgically Repaired Orbital Fracture Patients.
[So] Source:J Craniofac Surg;28(3):e233-e234, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Injury to the peripheral sensory branches of the trigeminal nerve can follow a wide variety of craniofacial injuries. Many patients with facial fractures complain about the symptom of numbness to the distribution of injured nerve, which is indicative of hypoesthesia. Hyperesthesia involving the infraorbital nerve is rare in comparison to hypoesthesia secondary to facial trauma. The authors report on 2 patients with infraorbital nerve hyperesthesia in surgically repaired orbital fracture patients. Surgical decompression of the infraorbital nerve led to rapid resolution of hyperesthesia. To the best of our knowledge, these were rare cases of patients who presented with persistent hyperesthesia. Clinician should perform early surgical decompression of the infraorbital nerve in patient with persistent hyperesthesia of the infraorbital nerve.
[Mh] Termos MeSH primário: Hiperestesia/etiologia
Nervo Maxilar/lesões
Fraturas Orbitárias/complicações
Fraturas Orbitárias/cirurgia
[Mh] Termos MeSH secundário: Adulto
Descompressão Cirúrgica
Seres Humanos
Hiperestesia/diagnóstico
Hiperestesia/cirurgia
Hipestesia/etiologia
Hipestesia/cirurgia
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003439


  3 / 2925 MEDLINE  
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[PMID]:29245243
[Au] Autor:He J; Shi W
[Ad] Endereço:aDepartment of Ophthalmology, Ninth People's Hospital, Shanghai Jiao Tong University School of MedicinebShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, People's Republic of China.
[Ti] Título:Inflammatory foreign body reaction caused by resorbable materials used for orbital fractures repair: A case report.
[So] Source:Medicine (Baltimore);96(49):e8822, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Resorbable materials have been recommended for orbital fractures repair. Many literatures reported the advantages of resorbable materials in clinical applications, but few reports about complications. PATIENT CONCERNS: In this study, we encountered a 14-year-old boy treated for the orbital fracture by using resorbable plate, in whom inflammatory foreign body reaction was detected. In addition, this patient had repeated history of skin allergy and upper respiratory tract infection. DIAGNOSES: Intraoperative observation showed that the resorbable material near the orbital rim was covered by granulation and inflammatory tissues, without purulent secretions. The histological examination revealed inflammatory foreign body reaction to the resorbable plate. INTERVENTIONS: Debridement was taken to remove the mass on the left lower eyelid. At the outpatient examination, a small amount of granulation tissue was found at the incision. Then, secondary surgery for exploration and removal of the resorbable material was carried, 9 months after the first surgery. OUTCOMES: One month after the surgery, the skin retraction, ectropion, and edema gradually improved. LESSONS: Inadequate degradation of resorbable materials and patient's medical history of allergies may cause an inflammatory foreign body reaction. Therefore, it is prudent to choose resorbable materials for patients.
[Mh] Termos MeSH primário: Implantes Absorvíveis/efeitos adversos
Placas Ósseas/efeitos adversos
Reação a Corpo Estranho/etiologia
Complicações Intraoperatórias/etiologia
Fraturas Orbitárias/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008822


  4 / 2925 MEDLINE  
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[PMID]:28868910
[Au] Autor:Klenk G; Katona J; Kenderfi G; Lestyán J; Gombos K; Hirschberg A
[Ad] Endereço:Fül-Orr-Gége és Szájsebészeti Osztály, Szent János Kórház és Észak-budai Egyesített Kórházak Budapest, Diós árok 1-3., 1125.
[Ti] Título:[Orbital compartment syndrome. The most frequent cause of blindness following facial trauma].
[Ti] Título:Orbitakompartment-szindróma. Arcot ért trauma következtében leggyakrabban vakságot okozó állapot..
[So] Source:Orv Hetil;158(36):1410-1420, 2017 Sep.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION: Although orbital compartment syndrome is a rare condition, it is still the most common cause of blindness following simple or complicated facial fractures. Its pathomechanism is similar to the compartment syndrome in the limb. Little extra fluid (blood, oedema, brain, foreign body) in a non-space yielding space results with increasingly higher pressures within a short period of time. Unless urgent surgical intervention is performed the blocked circulation of the central retinal artery will result irreversible ophthalmic nerve damage and blindness. Aim, material and method: A retrospective analysis of ten years, 2007-2017, in our hospital among those patients referred to us with facial-head trauma combined with blindness. RESULTS: 571 patients had fractures involving the orbit. 23 patients become blind from different reasons. The most common cause was orbital compartment syndrome in 17 patients; all had retrobulbar haematomas as well. 6 patients with retrobulbar haematoma did not develop compartment syndrome. Compartment syndrome was found among patient with extensive and minimal fractures such as with large and minimal haematomas. Early lateral canthotomy and decompression saved 7 patients from blindness. CONCLUSION: We can not predict and do not know why some patients develop orbital compartment syndrome. Compartment syndrome seems independent from fracture mechanism, comminution, dislocation, amount of orbital bleeding. All patients are in potential risk with midface fractures. We have a high suspicion that orbital compartment syndrome has been somehow missed out in the recommended textbooks of our medical universities and in the postgraduate trainings. Thus compartment syndrome is not recognized. Teaching, training and early surgical decompression is the only solution to save the blind eye. Orv Hetil. 2017; 158(36): 1410-1420.
[Mh] Termos MeSH primário: Cegueira/etiologia
Síndromes Compartimentais/diagnóstico
Síndromes Compartimentais/etiologia
Traumatismos Craniocerebrais/complicações
Fraturas Orbitárias/diagnóstico
Fraturas Orbitárias/etiologia
[Mh] Termos MeSH secundário: Cegueira/cirurgia
Feminino
Seres Humanos
Masculino
Traumatismos Maxilofaciais/complicações
Órbita/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170905
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30850


  5 / 2925 MEDLINE  
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[PMID]:28797015
[Au] Autor:Chung SY; Langer PD
[Ad] Endereço:Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
[Ti] Título:Pediatric orbital blowout fractures.
[So] Source:Curr Opin Ophthalmol;28(5):470-476, 2017 Sep.
[Is] ISSN:1531-7021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: The current study reviews the recent literature on pediatric orbital blowout fractures and provides guidelines on their management. RECENT FINDINGS: The most common problem among patients requiring surgical revision of a previously repaired orbital floor fracture is an improperly placed orbital floor implant, usually erroneously placed under the posterior bony ledge. Although the transconjunctival incision can be combined with a lateral canthotomy and cantholysis, excellent surgical exposure can be obtained without the need for these latter relaxing maneuvers. In surgically repaired pediatric orbital blowout fractures with preoperative diplopia (both trapdoor and nontrapdoor), approximately 85% of patients recover completely over time. Delayed orbital tissue atrophy may play a role in the development of late enophthalmos. SUMMARY: Most cases of pediatric orbital fracture can initially be followed conservatively to determine if disabling diplopia, when present, resolves without surgery. A notable exception is the trapdoor fracture, in which herniated tissue becomes entrapped by a recoiled bone fragment, causing marked or complete reduction in motility and/or an oculocardiac reflex; we recommend that these fractures be repaired within 24 h from the time of diagnosis. Enophthalmos resulting from an orbital floor fracture does not need to be prevented with early surgery. Enophthalmos can be allowed to develop over time to determine if it is noticeable, and then repair undertaken, if necessary, at that time. When surgery is indicated, a simple transconjunctival incision is preferred over a cutaneous incision, and care should be taken to insure that the implant is placed on the bony ledge at the posterior edge of the defect. Many children with blowout fractures will not require surgery, and those that do usually have excellent outcomes provided the recommendations are closely followed.
[Mh] Termos MeSH primário: Fixação de Fratura/métodos
Fraturas Orbitárias
Implantes Orbitários
Tomografia Computadorizada por Raios X/métodos
[Mh] Termos MeSH secundário: Criança
Saúde Global
Seres Humanos
Incidência
Fraturas Orbitárias/diagnóstico
Fraturas Orbitárias/epidemiologia
Fraturas Orbitárias/cirurgia
Índices de Gravidade do Trauma
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/ICU.0000000000000407


  6 / 2925 MEDLINE  
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[PMID]:28734704
[Au] Autor:Cervellin G; Bellini C; Tarasconi S; Bresciani P; Lippi G
[Ad] Endereço:Emergency Department, University Hospital of Parma, Italy. Electronic address: gcervellin@ao.pr.it.
[Ti] Título:Massive pneumomediastinum following orbital fracture.
[So] Source:Am J Emerg Med;35(10):1585.e1-1585.e2, 2017 Oct.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pneumomediastinum is a rare complication of facial fractures, always persuading the physicians to search for other and potentially more serious injuries such as esophageal or tracheal rupture. A 75-year old man presented to the Emergency Department (ED) reporting an accidental fall while walking on the road. He did not report loss of consciousness (LOS), was not taking anticoagulant drugs, did not report chest, abdomen or limb trauma. On physical examination he only showed swelling of nose and right orbit. The patient underwent a Computed Tomography (CT) scan of head and facial bones, showing a complex fracture involving right nasal bone, ethmoid, right orbital lateral wall, and right maxillary sinus lateral wall. No intracranial lesions were found. Due to the finding of subcutaneous emphysema in the right cheek, the scan was extended to the whole neck and chest. The exam showed a massive pneumomediastinum, extending till the diaphragmatic hiatus. The patient thus underwent bronchoscopy and esophagogastroscopy, but no further lesions could be found. Antibiotics therapy was then administered, and was discharged in good conditions after a five-days observation. In our patient, air had probably escaped into the pharyngo-maxillary space from the right maxillary sinus and tracked into both the retropharyngeal space and, for contiguity, into the pre-tracheal space. As our case report shows, if the airway is secure, the pneumomediastinum does not necessarily require treatment other than clinical observation and management of the fracture. If no other injuries are present, resolution of the pneumomediastinum may be expected without further medical interventions.
[Mh] Termos MeSH primário: Enfisema Mediastínico/etiologia
Fraturas Orbitárias/complicações
[Mh] Termos MeSH secundário: Idoso
Diagnóstico Diferencial
Seres Humanos
Masculino
Enfisema Mediastínico/diagnóstico
Fraturas Orbitárias/diagnóstico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170724
[St] Status:MEDLINE


  7 / 2925 MEDLINE  
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[PMID]:28694536
[Au] Autor:Anand L; Sealey C
[Ad] Endereço:Oral & Maxillofacial Registrar, Oral Health Department, Middlemore Hospital, Auckland.
[Ti] Título:Orbital fractures treated in Auckland from 2010-2015: review of patient outcomes.
[So] Source:N Z Med J;130(1458):21-26, 2017 Jul 07.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:AIM: The purpose of this study was to review patient outcomes from surgical reconstruction of isolated orbital fractures, performed by the Auckland District Health Board (ADHB) Oral and Maxillofacial Surgery service (OMFS), from 2010 to 2015. In particular, we wished to assess titanium as an orbital reconstructive material and compare outcomes with the international literature. METHOD: Hospital records for 103 adults (>18 years old) who underwent repair of isolated orbital fractures by the OMFS department at Middlemore Hospital, between 2010 and 2015, were reviewed. Information collected included patient characteristics, cause of injury, type of reconstruction material used and post-operative complications. Patients were then followed up by means of a verbal telephone questionnaire. RESULTS: The majority of patients were male in the 18-30 year age group, with interpersonal violence being the leading cause of injury. Titanium was the preferred choice of reconstructive material. Seven patients required return to theatre to resolve post-operative complications. Sixty-four patients could be contacted by telephone (12 months to six years follow-up). Thirty patients, who could not be contacted by telephone, did attend clinic follow-up and were assessed from their hospital records (minimum of one month follow-up). Ten patients could not be contacted by telephone and had not attended clinic follow-up. Problems with diplopia, paraesthesia and cosmesis were within complication rates reported in the literature. CONCLUSION: Patients with isolated orbital fractures, treated by the Oral and Maxillofacial Surgery Department in Auckland from 2010-2015, were reviewed. Titanium was the most commonly used reconstructive material and proved to be well tolerated. Complication rates were within international norms.
[Mh] Termos MeSH primário: Diplopia/epidemiologia
Fraturas Orbitárias/cirurgia
Complicações Pós-Operatórias/epidemiologia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Titânio
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Diplopia/etiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Nova Zelândia
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
D1JT611TNE (Titanium)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE


  8 / 2925 MEDLINE  
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[PMID]:28614230
[Au] Autor:Chen X; Yao Y; Wang F; Liu T; Zhao X
[Ad] Endereço:aDepartment of Ophthalmology bThe First Department of Medical Oncology, The Chinese PLA General Hospital, Beijing, China.
[Ti] Título:A retrospective study of eyeball rupture in patients with or without orbital fracture.
[So] Source:Medicine (Baltimore);96(24):e7109, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them.In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgical methods and the therapeutic process, visual acuity after injury, and the final best corrected visual acuity. The results were analyzed for statistically significant differences.There was no significant difference (P > .05) in the age, sex, or cause of injury. Patients with eyeball rupture with fracture had poorer vision than did those in the simple eyeball rupture group; eyeball rupture with fracture also had a higher probability of enucleation.In this study, the clinical results show that prognosis of eyeball rupture with orbital fracture is worse than that of eyeball rupture without orbital fracture.
[Mh] Termos MeSH primário: Traumatismos Oculares/complicações
Fraturas Orbitárias/complicações
Ruptura/complicações
[Mh] Termos MeSH secundário: Adulto
Traumatismos Oculares/diagnóstico
Traumatismos Oculares/epidemiologia
Traumatismos Oculares/cirurgia
Feminino
Seguimentos
Seres Humanos
Masculino
Fraturas Orbitárias/diagnóstico
Fraturas Orbitárias/epidemiologia
Fraturas Orbitárias/cirurgia
Prognóstico
Estudos Retrospectivos
Ruptura/diagnóstico
Ruptura/epidemiologia
Ruptura/cirurgia
Resultado do Tratamento
Acuidade Visual
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007109


  9 / 2925 MEDLINE  
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[PMID]:28599123
[Au] Autor:Borad V; Lacey MS; Hamlar DD; Dresner HS; Yadava GK; Schubert W
[Ad] Endereço:Division of Plastic and Reconstructive Surgery, University of Minnesota Medical Center, Minneapolis, MN. Electronic address: borad002@umn.edu.
[Ti] Título:Intraoperative Imaging Changes Management in Orbital Fracture Repair.
[So] Source:J Oral Maxillofac Surg;75(9):1932-1940, 2017 Sep.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Intraoperative imaging is gaining widespread use in the management of facial fracture repair. The aim of this study was to determine whether intraoperative imaging changes the management of orbital fracture repair. MATERIALS AND METHODS: A retrospective case series was performed of all cases of orbital fracture repair from 2008 to 2015 in which the intraoperative O-arm was used at Regions Hospital (St Paul, MN), a level I trauma center. The primary outcome variable was a change in management, ranging from orbital plate repositioning to proceeding with orbital floor exploration. RESULTS: The study sample was composed of 101 patients with a mean age of 40 ± 15 years. Approximately 75% (76 of 101) of patients were male and 25% (25 of 101) were female. All cases were secondary to assault, motor vehicle accident, fall, or gunshot wounds. Use of the O-arm resulted in a change in management in 44% (44 of 101) of cases. In 48% (21 of 44) of these cases in which intraoperative imaging resulted in a change in management, the orbital plate was repositioned to optimize repair. In 16% (7 of 44) of these cases, the orbital plate was exchanged for a different size or type of plate. In 7% (3 of 44) of these cases, the orbital plate was reshaped by bending to improve contour for the repair. In another 7% (3 of 44) of these cases, the orbital plate was reshaped by trimming the plate to optimize the length or width of the plate for repair. In 7% of these cases, the orbital floor required exploration based on intraoperative imaging. In 5% of these cases, the orbital floor was found to be adequately reduced after zygoma reduction based on intraoperative imaging and did not require exploration. CONCLUSIONS: Use of intraoperative imaging allows the surgeon to make real-time changes in operative management ranging from orbital plate repositioning to deciding whether to proceed with orbital floor exploration. This not only allows for immediate optimization of repair but also could decrease the need for revision procedures, thus decreasing patient morbidity and improving patient outcomes.
[Mh] Termos MeSH primário: Fixação Interna de Fraturas/métodos
Imagem Tridimensional
Fraturas Orbitárias/diagnóstico por imagem
Fraturas Orbitárias/cirurgia
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Feminino
Seres Humanos
Cuidados Intraoperatórios
Masculino
Meia-Idade
Fraturas Orbitárias/etiologia
Estudos Retrospectivos
Centros de Traumatologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE


  10 / 2925 MEDLINE  
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[PMID]:28474079
[Au] Autor:Lu Y; Lu XF; Fan XQ
[Ad] Endereço:Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China. E-mail:knightluyang@163.com.
[Ti] Título:[A retrospective analysis of 621 cases with craniomaxillofacial fractures].
[So] Source:Shanghai Kou Qiang Yi Xue;26(1):106-110, 2017 Feb.
[Is] ISSN:1006-7248
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:PURPOSE: To investigate the epidemiological characteristics of 621 hospitalized patients with craniomaxillofacial fractures by a retrospective study. METHODS: From July 2015 to August 2016, the medical records of 621 patients with craniomaxillofacial fractures in Shanghai Ninth People's Hospital were analyzed statistically according to age, gender, etiology and site of fracture. Chi-square test was used to analyze the causes of single and multiple fractures with SPSS 20.0 software package. RESULTS: The male to female ratio was 2.18: 1. The average age was 34.7±15.5 years with 19-29 years old group accounted for the most (28.3%). Traffic accident was the top cause of injury (49.0% ); There were 319 cases of orbital fractures (51.4%), followed by 292 cases of zygomatic complex (47.0%) and 247 cases of mandibular fractures (39.8%). CONCLUSION: The quantity and location of fractures are related to the cause of injury, the nature of stress and anatomical structure of corresponding areas. Establishing a sound system of traffic accident management and related laws is an urgent problem to be solved.
[Mh] Termos MeSH primário: Fraturas Cranianas/epidemiologia
[Mh] Termos MeSH secundário: Acidentes de Trânsito
Adolescente
Adulto
Distribuição de Qui-Quadrado
China
Feminino
Seres Humanos
Masculino
Fraturas Mandibulares
Fraturas Orbitárias
Estudos Retrospectivos
Fraturas Cranianas/diagnóstico
Fraturas Zigomáticas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170506
[St] Status:MEDLINE



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