Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

악안면 외상 환자의 치료지연에 대한 임상분석

강일규1, 차흥억1, 우주현1, 윤병기1, 김선태1,*
Il Gyu Kang1, Heung Eog Cha1, Joo Hyun Woo1, Byung Ki Yoon1, Seon Tae Kim1,*
1가천의과학대학교 길병원 이비인후-두경부외과학교실
1Department of Otolaryngology-Head & Neck Surgery, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea
*교신저자: 김선태, 405-760 인천광역시 남동구 구월동 1198 가천의과학대학교 길병원 이비인후-두경부외과학교실 전화: (032) 460-3764·전송: (032) 467-9044 E-mail: rhinokim2002@hanmail.net

© Copyright 2008 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: May 07, 2008; Revised: Jul 24, 2008; Accepted: Oct 15, 2008

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Maxillofacial trauma is frequent and mostly combined with other systemical problems or trauma as well. It requires early intervention but in the cases of the combined injuries, the treatment may be delayed which leads to poor surgical outcome and high rate of complications. The aim of the study was to investigate the causes of the delayed treatment, and also to analyze the treatment outcome and complications. Materials and Method: The study was based on the patients diagnosed with maxillofacial trauma but has not received proper examinations or had delayed intervention at least 30 days later from the onset. 55 patients who visited out patient clinic in Gil Medical Hospital from June 2004 to January 2007 were classified by sex, age, causes, combined injuries of the delayed treatment retrospectively. In cases of nasal bone fractures, we compared the results of early intervention with the those of delayed operation. Results: The causes of delayed treatment were that 36 patients did not receive proper examinations or radiologic studies, 12 patients had combined injuries or had medical problems. In cases of nasal bone fractures, the results of early intervention were better than those of delayed treatment (satisfactory rate 96% vs 14%, P<0.05). Conclusion: Early intervention of nasal bone frature is necessary to obtain satisfactory result. It is important for the primary physician or an emergency room doctor to evaluate the maxillofacial patients thoroughly and cooperate with other department in early time, in order to minimize the complications and unnecessary operation later. (J Clinical Otolaryngol 2008;19:189-192)

Keywords: 악안면 외상; 비골골절
Keywords: Maxillofacial injuries; Nasal bone fracture