PDF(Pubmed)
Abstract：
UNASSIGNED: To determine the prevalence of maxillofacial fractures associated with persistent CSF leak, and to assess its bearing on clinical outcomes of consecutive patients managed at our centre.
UNASSIGNED: This was a retrospective cross-sectional study. The medical records of patients over 11-year period were analysed for age, gender, etiology of injuries, duration between injury and presentation to the hospital, types of facial fracture and their treatments, treatment done to control CSF leak, and complication(s). Descriptive and bivariate statistics were computed.
UNASSIGNED: Overall, 1473 patients were evaluated, 66 (4.5%) presented with craniofacial injuries associated with persistent CSF leak after 5 days of non-surgical treatment. Males (92.5%, P= 0.0000) and those in the 21 to 30 years age group (59.1 %, P=0.01) were predominant. The most common (68.2%) type of fracture combination was Le Fort I, II and III, NOE, zygomatic complex and mandible. The commonest clinical presentation of CSF leak was rhinorrhea only, in 66.7% of patients (P= 0.001).
UNASSIGNED: This study shows that the prevalence of maxillofacial fractures associated with persistent CSF leak was low, which was 4.5% of patients that presented with persistent CSF leak and 84.9% of the cases resolved after treatment of the various maxillofacial fractures.
UNASSIGNED: This was a retrospective cross-sectional study. The medical records of patients over 11-year period were analysed for age, gender, etiology of injuries, duration between injury and presentation to the hospital, types of facial fracture and their treatments, treatment done to control CSF leak, and complication(s). Descriptive and bivariate statistics were computed.
UNASSIGNED: Overall, 1473 patients were evaluated, 66 (4.5%) presented with craniofacial injuries associated with persistent CSF leak after 5 days of non-surgical treatment. Males (92.5%, P= 0.0000) and those in the 21 to 30 years age group (59.1 %, P=0.01) were predominant. The most common (68.2%) type of fracture combination was Le Fort I, II and III, NOE, zygomatic complex and mandible. The commonest clinical presentation of CSF leak was rhinorrhea only, in 66.7% of patients (P= 0.001).
UNASSIGNED: This study shows that the prevalence of maxillofacial fractures associated with persistent CSF leak was low, which was 4.5% of patients that presented with persistent CSF leak and 84.9% of the cases resolved after treatment of the various maxillofacial fractures.
摘要：
■为了确定与持续性脑脊液漏相关的颌面部骨折的患病率，并评估其对我们中心连续治疗患者临床结局的影响。
■这是一项回顾性横断面研究。对超过11年的患者的医疗记录进行年龄分析，性别,损伤的病因，受伤和到医院就诊之间的持续时间，面部骨折的类型及其治疗方法，为控制脑脊液渗漏而进行的治疗，和并发症（S）。计算描述性和双变量统计量。
■总的来说，对1473例患者进行了评估，非手术治疗5天后，66例（4.5％）出现与持续性CSF渗漏相关的颅面损伤。男性（92.5%，P=0.0000）和21至30岁年龄组（59.1%，P=0.01）占优势。最常见（68.2%）的骨折组合类型是LeFortI，II和III,NOE,颧骨复合体和下颌骨。脑脊液漏最常见的临床表现仅是鼻漏，66.7%的患者（P=0.001）。
■这项研究表明，与持续性脑脊液漏相关的颌面部骨折的患病率较低，4.5%的患者出现持续性CSF漏，84.9%的患者在治疗各种颌面骨折后治愈。
■这是一项回顾性横断面研究。对超过11年的患者的医疗记录进行年龄分析，性别,损伤的病因，受伤和到医院就诊之间的持续时间，面部骨折的类型及其治疗方法，为控制脑脊液渗漏而进行的治疗，和并发症（S）。计算描述性和双变量统计量。
■总的来说，对1473例患者进行了评估，非手术治疗5天后，66例（4.5％）出现与持续性CSF渗漏相关的颅面损伤。男性（92.5%，P=0.0000）和21至30岁年龄组（59.1%，P=0.01）占优势。最常见（68.2%）的骨折组合类型是LeFortI，II和III,NOE,颧骨复合体和下颌骨。脑脊液漏最常见的临床表现仅是鼻漏，66.7%的患者（P=0.001）。
■这项研究表明，与持续性脑脊液漏相关的颌面部骨折的患病率较低，4.5%的患者出现持续性CSF漏，84.9%的患者在治疗各种颌面骨折后治愈。
