Discussion on surgical timing in patients with jaw fracture complicated with craniocerebral injury
ZENG Zhi-mei1 DING Guan-fu2 LIU Ke-hua1
1.Department of Stomatology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China;2.Department of Neurosurgery,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China
Abstract：Objective To explore the surgical timing of jaw fracture complicated with craniocerebral injury.Methods A total of 80 patients with jaw fracture complicated with craniocerebral injury admitted into our hospital from June 2016 to December 2017 were selected.In the case of informed consent of the patients and after the consultation of doctors held by the neurosurgery department,anesthesiology department combined with the oral and maxillofacial surgery dpartment,according to the patients′vital signs and whether they can tolerate surgery and anesthesia,the patients were assigned into the same period surgery group,the early surgery group,and the delayed surgery group.The occlusal relationship,mouth opening degree and other indicators 1 month after operation,and GCS score change,blood routine and liver and kidney function indicators 1 week after operation in patients were analyzed.Results The normal rate of occlusal relationship in the same period surgery group was higher than that in the early surgery group and the delayed surgery group,the malocclusion rate and the limited rate of mouth opening of the same surgery period group were lower than those in the early surgery group and the delayed surgery group(P＜0.05).There was no significant difference in the positive rate of GCS score,blood routine test and abnormal liver and kidney function indicators among the three groups(P＞0.05).Conclusion If patients with jaw fracture and craniocerebral injury have stable vital signs and can tolerate surgery and anesthesia,and they can be given the reduction or fixation of jaw fracture at the same time or early stage.
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