患者与外科医生观点的差异:180例颧骨-腋窝复合骨折患者保守或手术治疗后的长期随访

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Samin Rahbin, Ola Sunnergren, Ellen Lindgren, Hatef Darabi, Babak Alinasab
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引用次数: 0

摘要

研究设计回顾性随访。目的研究颧腋复合体(ZMC)骨折患者采用保守治疗或手术治疗的远期疗效。它考虑了患者和外科医生的观点,并探讨了与患者满意度相关的因素。方法对2007-2018年单侧ZMC骨折患者进行随访临床检查和摄影资料记录。使用问卷记录患者的经历。评审小组评估了计算机断层扫描(CT)扫描和照片。评估患者和外科医生对功能性后遗症的感知角度,并使用相关矩阵来评估感知颧不对称的不同视角。结果本组患者180例,其中保守治疗43例,手术治疗137例。创伤后中位随访时间为72.5个月。总体满意度为92.8%,治疗组间无显著差异。患者和外科医生在功能性后遗症的检测上有显著差异。CT扫描上预测的颧骨不对称与照片上的发现或患者报告无关。结论CT上预测的面颊凹陷并不一定导致长期可见的颧区不对称。在预测和评估ZMC骨折的长期后遗症时,外科医生应该承认不同的观点,并就何时进行手术重建寻求共识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differences Between Patient and Surgeon Perspectives: A Long-Term Follow-Up of 180 Patients With Zygomaticomaxillary Complex Fractures Following Either Conservative or Surgical Treatment
Study Design Retrospective with follow-up. Objective This study described the long-term outcomes of patients who received either conservative or surgical treatment for zygomaticomaxillary complex (ZMC) fractures. It accounted for the perspectives of both patients and surgeons, and explored factors associated with patient satisfaction. Methods Patients with unilateral ZMC fractures 2007–2018 were invited to follow-up clinical examinations and photographic documentation. Patient experiences were recorded using a questionnaire. A review panel assessed computed tomography (CT) scans and photographs. Patient and surgeon perspectives of detecting functional sequelae were assessed, and a correlation matrix was used to evaluate different perspectives of perceiving malar asymmetry. Results The study sample consisted of 180 patients, of which conservative treatment was given to 43 patients and surgical treatment to 137 patients. Median follow-up time was 72.5 months after trauma. Overall satisfaction was 92.8%, with no significant difference between treatment groups. Patients and surgeons showed marked differences in detecting functional sequelae. Predicted malar asymmetry on CT scans did not correlate to findings on photographs or reports by patients. Conclusions A predicted sunken cheek on CT imaging does not necessarily lead to long-term visible asymmetry of the malar region. Surgeons should acknowledge different perspectives when predicting and assessing long-term sequelae of ZMC fractures, and seek consensus on when to perform surgical reconstructions.
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来源期刊
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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