Maxillofacial Trauma
Conditions
Interventions
experimental group:concurrent combined surgery
Control group:deferred treatment in different departments
Sponsors
Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients are 18-59 years of age; 2. Definitive diagnosis of midfacial fracture with facial asymmetry and malocclusion; 3. Definitive diagnosis of neurosurgery: (1) Acute epidural hematoma with obvious mass effect; (2) Skull base fracture with cerebrospinal fluid leakage requiring surgical repair; (3) Skull fracture with significant displacement affecting function and appearance; (4) Severe craniocerebral injury without cerebral hernia Or the hernia time is less than 2 hours; 4. Patients with a Glasgow Coma Scale of 8 or more before neurosurgery. 5. Patients who can cooperate with our treatment.
Exclusion criteria
Exclusion criteria: 1. Previous cranio-maxillofacial surgery history; 2. Patients with craniocerebral trauma that seriously threatens the patient's life and cannot endure long-term surgery; 3. Patients with craniocerebral trauma with poor prognosis, such as brain stem injury, and high probability of postoperative plant survival 4. Patients with poor general conditions and severe systemic diseases, including those with acute infections, mental illnesses and hypertension, heart disease, and diabetes; 5. Patients with systemic and local diseases that affect the prognosis of treatment such as osteoporosis, osteomyelitis, etc; 6. Pregnant and lactating women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of fracture reduction;Glasgow Coma Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Facial symmetry;Mouth opening;Occlusion;Efficiency of surgery;Inpatient days; | — |
Countries
China
Contacts
Public ContactShilei Zhang
Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine
Outcome results
None listed