NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG, XQUANG CẮT LỚP VI TÍNH BỆNH NHÂN CHẤN THƯƠNG GÃY LIÊN TẦNG MẶT TẠI BỆNH VIỆN QUÂN Y 175

Dân Nguyễn Văn; Vũ Nguyễn Bá Hoàng; Huế Ngô Thị Hồng; Hiền Lê Hoàng

doi:10.59354/ydth175.2023.204

Keywords:

panfacial fracture

Abstract

Objective: The objective of this study was to investigate the clinical and CT-Scanner features of patients with panfacial fractures for accurate diagnosis and effective treatment planning.

Participants and research methods: A total of 46 patients were enrolled in this study, all of whom were diagnosed with and treated for panfacial fractures at the Maxillofacial Department –Military Hospital 175 from January 2022 to March 2023.

Results: Our findings showed that the majority of patients (67.3%) were between the ages of 19 and 39, with the youngest patient being 15 years old and the oldest being 61 years old, and a mean age of 30.54±11.18. The male proportion is 91.2%, and the female proportion is 8.8%. Traffic accidents account for the majority at 95.6%. The most common combined injury is a traumatic brain injury, accounting for 41.4%. The clinical symptoms of panfacial fractures are very diverse, with which 100% of patients having malocclusion, bone deformities, and limited mouth opening. On CT-Scanner, all patients showed evidence of lower and midfacial fractures, while 19 cases (41.3%) also had upper facial bone fractures.

Conclusion: panfacial fractures are severe injuries with varied clinical symptoms and X-ray findings. Patients require timely emergency care and careful examination to plan the best treatment.

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