摘要
目的探讨颧骨复合体骨折复位和固定术中应用冠状切口入路的手术适应证、手术方法及减少并发症的措施。方法84例颧骨复合体骨折的患者应用单纯冠状切口为36.9%、冠状切口+下睑缘切口为32.1%、冠状切口+下睑缘切口+前庭沟切口为16.7%和冠状切口+前庭沟切口为14.3%。术中患者均使用微型钛板或小型钛板坚强内固定。对于眶底骨折出现眼球内陷的患者以羟基磷灰石人工骨进行眶底重建。结果84例患者均未发生手术后切口感染,术后随访3个月到2年,无面神经永久性损伤,术后所有咬合关系紊乱的患者均达到功能性咬合。通过训练后张口度得到满意恢复。8例患者术后患侧颧弓处仍稍显膨隆。术后眼球内陷只有1例仍大于3mm,其余均恢复满意。结论颧骨复合体骨折使用头皮冠状切口时,熟练掌握颞部的解剖层次是至关重要的,仔细保护神经及血管结构可减少手术并发症。
Objective ：To study the indications, surgical technique and complications of the coronal approach in the treatment of zygomatic complex fractures. Methods ： Eighty-four patients with zygomatic complex fracture underwent coronal incisions for surgery. Micro or mini titanium bone plates were used to stabilize the fractured bones. In patients with endophthalmos orbital wall fractures were treated with hydroxyapatite. Follow-up was conducted for 3 months to 2 yeaR. Results ： All patients had no wound infection after operation. There was no permanent facial nerve motor function deficit. All of the patients with malocclusion regained their functional occlusion after treatment. The patients with restriction of mouth opening recovered after training. Eight patients had observable asymmetry characterized by widening of the face on the side of the injury. One patient sustained the postoperative endophthalmos beyond 3 mm. Conclusion ： Coronal approach is feasible in the surgical treatment of zogomatic complex fracture.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2005年第5期676-678,共3页
Journal of Practical Stomatology
关键词
冠状切口
颧骨复合体
骨折
坚强内固定
Coronal incision
Zygomatic complex
Fracture
Rigid internal fixation
