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Chinese Journal of Stomatological Research(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (06): 373-376. doi: 10.3877/cma.j.issn.1674-1366.2020.06.006

Special Issue:

• Clinic Research • Previous Articles     Next Articles

Clinical analysis of 156 patients with craniofacial fracture

Ke Wang1, Guoguang Peng1,(), Shanzhi He1, Yulian Tan1, Lilei Yi2   

  1. 1. Stomatological Medical Center, Foshan Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan 528000, China
    2. Radiological Department, Foshan Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan 528000, China
  • Received:2020-02-19 Online:2020-12-01 Published:2020-12-01
  • Contact: Guoguang Peng
  • About author:
    Corresponding author: Peng Guoguang, Email:
  • Supported by:
    Medical Scientific Research Foundation of Guangdong Province(B2018193)

Abstract:

Objective

To study the treatment of cranial-maxillofacial fracture retrospectively.

Method

A total of 156 patients with cranial-maxillofacial fractures were admitted to the Department of Stomatology, Foshan Hospital of Traditional Chinese Medicine from January 2017 to December 2019. All patients with cranial-maxillofacial fractures were confirmed by emergency CT. The patients were treated by neurosurgery for craniocerebral trauma, and given symptomatic treatment such as brain cell protection, anti-inflammatory, dehydration. After the brain condition was stabilized, the patients received surgical treatment, underwent maxillofacial fracture surgical treatment, stable blood pressure maintained by the anesthesiologist. After operation, the patients continued having symptomatic treatment in neurosurgery and stomatology department, and then rehabilitation therapy for 3 to 6 months.

Results

There were 156 patients with cranial-maxillofacial fracture injury, 16 patients with limited mouth opening, 9 patients with facial paralysis, and the rest of the patients recovered satisfactorily.

Conclusions

The treatment of cranial-maxillofacial fractures should be evaluated for stability and then performed operation, and the condition of patients should be closely observed during the perioperative period.

Key words: Craniocerebral trauma, Maxillofacial injuries, Submental approach, Submandibular approach, Open reduction and internal fixation

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