口腔-面部的异物并发症

M. Akhter, Jewel Rana, Akm Erfanul Hoque
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摘要

摘要研究设计:一份病例报告。目的:探讨颌面部异物创伤治疗中存在的问题及解决方法。方法:对2例异物外伤患者进行体格检查、影像学检查及随访,了解残留部位的术后效果及治疗结果。结果:两例患者均在伤后立即接受治疗。但几个月后,由于异物残留,并发症出现。如果患者的第一个位置不适合USG和放射学也未能发现异物的存在。如果第2例患者在初始治疗后需要进一步治疗。结论:处理初期异物残留的原因主要是出血、靠近重要结构、隐匿于口面多筋膜层形成的间隙中,引起肿胀、牙关紧闭、排窦等后期并发症。放射成像有时不能检测到残留物的存在和位置。所以进一步的治疗对外科医生来说是非常困难的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foreign Body Complications in the Oro-Facial Region
Email: mahmudanaz@gmail.com ABSTRACT Study Design: A case report. Objective: To identify the problems and solutions of the treatment of foreign body trauma in the maxillofacial region. Methods: Two cases of foreign body trauma patients include physical examination findings, radiological images and follow-up was documented to find out the after effect of residual part and treatment outcomes. Result: Both patients received treatment immediately after injury. But few months later complications arise due to the remnant of foreign body. In case of first patient location was not suitable for USG and radiology also unsuccessful to notice the presence of foreign body. In case of 2nd patient need further treatment after initial management. Conclusion: Causes for the remnant of foreign body during first steps of management are bleeding, proximity to the vital structures, and hiding in the spaces created by multiple fascia layers in the oro-facial region and causes late complications like swelling, trismus, discharging sinuses, etc. Radiological imaging sometimes fails to detect the presence and position of remnants. So further treatment is very difficult for the surgeon.
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