蝶骨翼突单侧孤立性骨折:临床病例

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翼突骨折通常与勒福(Le Fort)分型骨折相关,并且可能与其他面部骨折一起发生,例如额窦壁骨折和鼻眶筛骨骨折。孤立的翼突骨折极为罕见。

与勒福(Le Fort)分型骨折不同,必须通过手术固定不稳定的碎片以恢复翼突的形态和功能并稳定翼突,孤立的翼板骨折不需要手术治疗。

本文描述了一名71岁女性患者的蝶骨翼突单侧孤立性骨折的罕见病例,该患者颅脑外伤,右眼窝底部血肿,由意识丧失引起。

计算机断层扫描显示右侧翼突板单侧骨折,同侧咀嚼上颌间隙有肺气肿迹象。此外,该患者还发现了右侧上颌窦侧壁骨折,有血窦征象。未检测到颅底骨折或硬脑膜损伤。患者接受了保守治疗。

关键词:蝶骨翼突骨折; Le Fort型骨折; CT扫描。

作者简介

Rosario Francesco F. Balzano

Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital

Email: ro.balzano@gmail.com
意大利, Foggia

Valentina Testini

Department of Clinical and Experimental Medicine, Foggia University School of Medicine

Email: testinivalentina@gmail.com
意大利, Foggia

Aldo Cammarota

Radiation Oncology Unit, IRCCS CROB, Rionero in Vulture

Email: aldo.cammarota@crob.it
意大利, Potenza

Giuseppe Guglielmi

Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital; Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Hospital “Casa Sollievo Della Sofferenza”, San Giovanni Rotondo

编辑信件的主要联系方式.
Email: giuseppe.guglielmi@unifg.it
ORCID iD: 0000-0002-4325-8330

Medical Doctor, Full Professor of Radiology, Department of Clinical and Experimental Medicine.

意大利, Foggia; Foggia; Foggia

参考

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补充文件

附件文件
动作
1. JATS XML
2. 图1:骨窗轴向(a)和冠状(b)CT扫描显示右侧翼突板骨折(箭头),伴同侧咀嚼肌间隙内有气肿气泡(箭头)。

下载 (152KB)
3. 图2:骨窗轴向(a)和冠状(b)CT扫描:显示右侧上颌窦内侧壁骨折(箭头)。软窗(c)显示右上颌窦内有血窦 (箭头)。

下载 (179KB)

版权所有 © Balzano R., Testini V., Cammarota A., Guglielmi G., 2022

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