口腔疾病防治2017，Vol.25Issue(12)：761-766,6.DOI:10.12016/j.issn.2096-1456.2017.12.003
头颈部严重木竹异物外伤的诊治经验
Management experience of severe wooden foreign bodies injuries in head and neck region
摘要
Abstract
Objective To describe our experience with the surgical treatment of severe wooden foreign body (WFB) injuries in the head and neck region.Methods A case series review of WFB injuries in the head and neck region that were managed at Sun Yat-sen Memorial Hospital between 2008 and 2014 was performed retrospectively.The clinical findings and surgical details of ten cases were reviewed.Results The WFBs were integrally removed from all patients with the average age of 40.9 years.8 cases dued to falling and 2 cases because of industrial injuries.All cases underwent general anesthesia (6 cases tracheal incision,3 cases through nose intubation,1 cases through oral intubation).The lengths of the WFBs ranged from 4.0 cm to 17.5 cm (average 9.96 cm).The procedures lasted 30 to 180 min.No severe bleeding was observed.Total blood loss ranged from approximately 3 to 200 mL (average 69 mL).The patients were followed for 11 to 38 months,and no postoperative complications,only 1 cases appeared open type deviation and 2 cases of scar discomfort after neck operation.Conclusion Surgical treatment of severe WFB injuries in the head and neck region is acceptably safe and effective.Endoscopic surgery can be used in patients with WFBs that are embedded in the maxilla.关键词
木竹异物/头颈部/颌面外伤/手术治疗Key words
Wooden foreign body/Head and neck/Trauma/Surgical treatment分类
医药卫生引用本文复制引用
张大明,周斌,张善义,杨朝晖,王建广,张彬,陈伟良..头颈部严重木竹异物外伤的诊治经验[J].口腔疾病防治,2017,25(12):761-766,6.基金项目
国家自然科学基金项目(81772888) （81772888）
