摘要
目的探讨改良下睑缘皮肤切口治疗颧骨复合体骨折的临床效果。方法32例颧骨复合体骨折者，术前行颧弓及眶外侧壁CT三维重建，显示骨折位置。沿下睑缘皮肤切口，自外眦向外延长切口15mm，切开骨膜，将骨膜分离至颧弓背面，用微型钛钉钛板固定骨折端，使颧弓恢复正常解剖位置，并使眶下缘完全复位。结果术后2周眶周软组织肿胀消退，颧骨骨折处畸形得到完全矫正，张口运动均较术前明显改善。术后3个月，32例颧部形态左右对称，外观无明显差异，张口度大于40mm。眼球内陷与健侧基本对称。结论颧骨复合体骨折采用改良下睑缘切口手术，联合微型钛钉钛板固定，效果良好。
Objective To observe the clinical effect of improved reductive surgery for zygomatic complex fracture. Methods Thirty-two patients with zygomatic complex fractures were given zygomatic arch and lateral orbital wall fracture CT 3D reconstruction before operation to display position of fracture. The skin incision was made along the lower eyelid margin and extended about 15 mm outward canthus. Then the periosteotomy was done and the periosteum was separated to the back of zygomatic arch. The fracture was fixed with micro titanium nail plate to restore the normal anatomical position of zygomatic arch and to reset orbital margin completely. Results Two weeks after the operation, the soft tissue swelling of the orbital region faded. The deformity was completely corrected, and the opening movement of mouth was improved obviously compared with that before the operation. Three months after the surgery, the zygomatic appearance was symmetrical in 32 cases, with no obvious differences in appearance. Mouth opening degree was higher than 40 mm. The two eyeballs were symmetrical. Conclusion The improved subciliary approach combined with micro titanium nail and plate for zygomatic complex fracture has good effect.
出处
《中华眼外伤职业眼病杂志》
2016年第6期420-422,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
骨折
外伤性
颧骨复合体
改良手术
切口
Fractures, traumatic
Zygomatic complex
Reductive surgery, modified
Incision
