摘要
目的探讨内镜辅助下行颧弓骨折复位内固定的相关技术及临床价值。方法选择18例患者,其中单侧颧弓骨折10例,单侧颧骨颧弓骨折8例,均在内镜辅助下经面部小切口暴露颧弓骨折断端,行断端解剖复位后,采用钛板在内镜辅助下进行颧弓骨折坚固内固定,恢复颧弓解剖形态。结果所有病例术后双侧颧部对称,无张口、咀嚼功能障碍及明显并发症发生。面部瘢痕隐蔽,无明显瘢痕畸形。术后CT检查显示颧弓颧骨基本解剖复位,钛板固定位置良好。结论内镜辅助下经面部小切口行颧弓骨折复位内固定治疗,手术创伤小,骨折复位效果好,并发症少,可作为部分颧弓骨折病例治疗的选择术式。
Objective A study was conducted to investigate the relevant applied technique and clinical value of endoscopeassisted repair of zygomatic arch fracture. Methods A total of 10 cases of unilateral zygomatic arch fracture and 8 cases of unilateral zygomatic fracture were included. Reduction and fixation of the zygomatic arch in all cases were performed via a small face incision by an endoscope. Endoscope-assisted repair allowed exposure of zygomatic arch fracture and ended the anatomy of the reset. Zygomatic arch was stabilized with titanium plates. Results Symmetric malar was achieved in all cases after operation. Patients did not show difficulty in opening the mouth. No chewing problems or severe complications were evident. This method had the advantage of hidden incision, and it did not leave scars on the face. Postoperative CT examination showed excellent reduction of zygomatic arch fracture and good fixed position of titanium plate. Conclusion Endoscope-assisted repair of zygomatic arch fracture via a small face incision can be an alternative operation for zygomatic arch fracture. Patients are less traumatized. There are fewer complications. A good reduction of fracture is achieved.
出处
《华西口腔医学杂志》
CAS
CSCD
北大核心
2016年第2期166-168,共3页
West China Journal of Stomatology
关键词
颧弓骨折
内镜
内固定
zygomatic arch fracture
endoscope
internal fixation
