RESUMO
For acute posttraumatic period of heavy combined cranium-facial trauma (CFT) considerable activation of peroxide lipids oxidation in the liquor is typical beginning from the 1st day of posttraumatic period on the background of speedy and drastic depletion of fermentative and low-molecular antioxidant liquor system (in spite of introduction of antioxidants particularly a-tocopherol acetate). Non-adequate functioning of the system of antioxidant defense on the background of free radical activity splash can be considered as breakdown of the process of adaptive reaction forming. It leads to weighting the course of posttraumatic period of heavy combined cranium-facial trauma and its outcome as a whole.
Assuntos
Traumatismos Craniocerebrais/líquido cefalorraquidiano , Traumatismos Faciais/líquido cefalorraquidiano , Malondialdeído/líquido cefalorraquidiano , Traumatismo Múltiplo/líquido cefalorraquidiano , Estresse Oxidativo/fisiologia , Superóxido Dismutase/líquido cefalorraquidiano , alfa-Tocoferol/líquido cefalorraquidiano , Adulto , Biomarcadores/líquido cefalorraquidiano , Ceruloplasmina/líquido cefalorraquidiano , Feminino , Seguimentos , Humanos , Peroxidação de Lipídeos/fisiologia , Masculino , Prognóstico , Índices de Gravidade do TraumaRESUMO
Increasing familiarity with elective reconstructive approaches to craniofacial deformity has led to the application of a similar multispecialty approach to repair of selected cases of massive frontal and upper facial trauma. The fundamental steps in craniofacial reconstruction are outlined. The process of patient selection is emphasized. Illustrative case histories review the management of this type of injury. Contributions from anesthesiology, neurosurgery, ophthalmology, and plastic surgery are required. Specialized facilities for postoperative care are mandatory.
Assuntos
Traumatismos Faciais/cirurgia , Fraturas Cranianas/cirurgia , Cirurgia Plástica , Adulto , Sistema Nervoso Central/lesões , Derivações do Líquido Cefalorraquidiano , Drenagem , Traumatismos Oculares/complicações , Traumatismos Faciais/líquido cefalorraquidiano , Feminino , Humanos , Masculino , Métodos , Cuidados Pós-Operatórios , Fraturas Cranianas/líquido cefalorraquidiano , Fatores de TempoRESUMO
The case of a patient with massive, posttraumatic, subconjunctival cerebrospinal fluid collections is described in which diagnosis and postoperative management was simplified by serial radionuclide cisternography.