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经冠状切口联合下睑缘切口治疗复杂面中部骨折 被引量:2

Repositioning Complex Midface Fractures via Coronal Incision Combined with Subciliary Incision Approach
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摘要 目的:探讨经冠状切口联合下睑缘切口行复杂面中部骨折坚强固定术的临床应用价值。方法:本组28例患者采用头皮冠状切口联合下睑缘切口行面中部骨折解剖复位,Mini或Micro钛接骨板坚强内固定。结果:28例均一期愈合,面部畸形得到明显改善,咬合关系恢复正常,无面神经的损伤。结论:采用头皮冠状切口联合下睑缘切口的坚强内固定技术大大减少了传统的面中部复杂骨折治疗所带来的复位不准确、固定不可靠、术后遗留面部畸形等并发症,使面中部解剖结构得以重建,提高了骨折固定的稳定性,取得了良好的疗效。 Objective: To discuss the application of coronal and subciliary incision approach in the treatment of complex mid -face fracture. Methods: 28 cases were selected and treated with approach of coronal and subciliary incision. Fractures were reducted and fixed with titanium - miniplates and microplates. Results : All cases had been restored with normal face profile and good occlusion. No facial paralysis had been found, Conclusion: Rigid internal fixation has advantage over conventional intermaxillary fixation. It improves the stability of fracture fixation, promotes fracture healing and guarantees the rehabilitation of mid -face.
出处 《口腔医学研究》 CAS CSCD 2007年第4期442-444,共3页 Journal of Oral Science Research
关键词 面中部骨折 冠状切口 坚强内固定 Mid -face fracture Coronal incision Rigid internal fixation
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