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目的总结颌面部创伤患者的处理经验。方法自2013年6月至2016年5月,对经急诊修复治疗的16 800例颌面部创伤患者,根据患者颌面部不同的伤情,应用整形外科技术最大程度恢复面部的外观形态。结果所有患者均获随访3~18个月。对皮肤裂伤者,经清创缝合后伤口无明显瘢痕增生、挛缩,面部功能及表情正常;对皮肤缺损者,治疗后无明显组织移位及牵拉变形,瘢痕不明显;对皮肤撕脱伤者,治疗后恢复了面部完整外形,瘢痕较小,畸形不明显;对合并面部骨折伤者,经及时清创、复位、缝合等治疗,无明显感染且并发症少,为后期进一步治疗打下了基础。结论将整形外科技术应用于颌面部创伤,可以获得术后瘢痕细小,后遗畸形较少的效果。
Objective To summarize the experience of maxillofacial trauma patients. Methods From June 2013 to May 2016, 16 800 cases of maxillofacial traumatic patients who underwent emergency repair were treated with orthopedic surgery to maximize facial appearance according to different maxillofacial injuries. Results All patients were followed up for 3 to 18 months. On the skin laceration, the debridement after wound debridement no obvious scarring, contracture, facial function and facial expression is normal; on the skin defect, after treatment, no significant tissue shift and traction deformation, scar is not obvious; avulsion to the skin After the treatment, the injured face recovered the complete facial shape after treatment, the scar was small and the deformity was not obvious. For the patients with combined facial fractures, the patients were treated with debridement, reduction and suture in time without obvious infection and less complications, which laid the foundation for further treatment in the later period The foundation. Conclusion Applying orthopedic technique to maxillofacial trauma, the effect of small postoperative scar and less posterior deformity can be obtained.