Oral surgery, oral medicine, oral pathology and oral radiology · 2014
Vessel injuries of the head and neck presenting in mandibular fractures.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Brockhoff Hans C, Morris Chris, Tiwana Paul, Bebeau Nicolas, Phillips Ceib
Аннотация
OBJECTIVE: Extracranial vascular injuries of the head and neck are relatively underdiagnosed in patients with acute trauma and can carry devastating sequelae. We wished to identify the correlation between mandibular fractures and injuries to major vessels of the head and neck.
STUDY DESIGN: A retrospective review of our trauma registry was performed for the 1993-2007 period. The data on all mandibular fractures were collected.
RESULTS: A total of 2288 patients presented to Parkland Memorial Hospital with mandibular fractures, of whom 47 (2%) had an injury to a major vessel of the neck. Nearly half, 23 (48.9%), were the result of high-velocity penetrating injuries, namely gunshot wounds, whereas 17 (36.2%) were the result of high-velocity blunt motor vehicle or motorcycle collisions.
CONCLUSIONS: Patients who sustain a mandibular fracture in the setting of a high-velocity mechanism should be approached with the possibility of vascular injury of the great vessels of the neck kept in mind.
STUDY DESIGN: A retrospective review of our trauma registry was performed for the 1993-2007 period. The data on all mandibular fractures were collected.
RESULTS: A total of 2288 patients presented to Parkland Memorial Hospital with mandibular fractures, of whom 47 (2%) had an injury to a major vessel of the neck. Nearly half, 23 (48.9%), were the result of high-velocity penetrating injuries, namely gunshot wounds, whereas 17 (36.2%) were the result of high-velocity blunt motor vehicle or motorcycle collisions.
CONCLUSIONS: Patients who sustain a mandibular fracture in the setting of a high-velocity mechanism should be approached with the possibility of vascular injury of the great vessels of the neck kept in mind.