摘要
目的:探讨颧骨复合体骨折(zygomatic complex fracture,ZCF)治疗的合理分类及治疗方法。方法:67例颧骨复合体骨折患者术前CT三维重建,采用新的分类方法进行分类,采用冠状切口+辅助小切口或小切口的手术方式,所有患者手术后均有影像学复查。所有患者3个月后根据功能与外形分级进行评价。结果:Ⅰ级23例(占34.33%),Ⅱ级34例(占50.74%),Ⅲ级8例(占11.94%),Ⅳ级2例(占2.99%)。颊龈沟切口或附加小切口用于A型ZCF,冠状切口+辅助小切口的手术方式用于B-C型ZCF,结论:颧骨复合体骨折新的分类方法,对临床手术操作及术后复查测量有较好的指导作用,对于较为复杂的颧骨复合体骨折提倡冠状切口+辅助小切口的手术方式。
Objective： To approach a reasonable classification and surgical therapy of the zygomatic-complex fracture. Methods： 67 cases were retrospectively reviewed. According to He＇s classification, 23 cases in type A, 34 cases in type B, 10 cases in type C. Surgical therapy from buccogingival sulcus or additional small incision were selected for type A zygomatic-complex fracture; additional approaches including coronal incision, extra superciliary arch incision, infraorbit or circumorbital incision for type B and C. Results： Therapeutic resuhs based on both morphology and function were divided into Ⅰ - Ⅳdegrees in the rank order of satisfaction and effectiveness. Ⅰ -23 cases; Ⅱ-34 eases; Ⅲ-8 eases; Ⅳ-2 cases. Conelusion： The treatment methods for ZCF should be selected according to the fracture types.
出处
《口腔颌面外科杂志》
CAS
2009年第1期40-42,共3页
Journal of Oral and Maxillofacial Surgery
关键词
颧骨复合体
骨折
外科治疗
zygomatie complex
fracture
surgical treatment
