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篇名
微創顴骨整形手術術後之少見併發症大片硬膜外血腫-個案報告及文獻回顧
並列篇名
Huge epidural hematoma caused by re-duction malarplasty - a case report and review of literature
作者 嚴競儀張志儒劉元凱許斯凱
中文摘要

顴骨整形手術是一個對亞洲人來說最常見針對面部輪廓調整的策略。我們報告一個二十三歲的女性病患在接受經口腔微創顴骨整形手術後發生突發性意識喪失。腦部電腦斷層顯示左側大範圍硬膜外出血併中線偏移。在接受緊急開顱血塊清除減壓手術後病人有臨床上的實質上進步。因顴骨整形手術術中傷害到中腦膜動脈而造成的急性硬膜外出血為危及生命嚴重併發症,外科醫師應該要注意此併發症之可能性。然而,因術中傷害到中腦膜動脈而造成危及生命的硬膜外出血之併發症,在文獻中仍未被提出過。

 

英文摘要

Reduction malarplasty is considered as one of the most common strategies for fa-cial contouring for Asian patients. A 23-year-old female patient presented with sudden onset of consciousness disturbance after reduction malarplasty through the intraoral approach. Brain computed tomography (CT) revealed a left temporal epidural hematoma (EDH) with severe midline shift. Emergent craniectomy with hematoma evacuation was performed smoothly. The patient demonstrated substantial clinical improvement after the operation. Epidural hematoma resulting from injury to the middle meningeal artery is a rare but life-threatening complication of reduction malarplasty, and surgeons should be cautious about the possibility of this complication. Moreover, to the best of our knowledge, temporal EDH caused by injury to the MMA as a complication in reduction malarplasty has not pre-viously been reported.

 

起訖頁 024-029
關鍵詞 顴骨整形手術併發症硬膜上出血reduction malarplastycomplicationepidural hematoma
刊名 輔仁醫學期刊  
期數 202103 (19:1期)
出版單位 輔仁大學醫學院
該期刊-上一篇 加護病房內念珠菌菌血症之老年病人的流行病學、菌種分佈與預後因子-一個多中心研究
該期刊-下一篇 同時雙側股骨頸骨折以一階段半髖人工關節治療:病例報告與文獻探討
 

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