摘要
目的:探讨颧骨复合体骨折复位固定的有效方法.方法:对28例颧骨复合体骨折患者通过冠状切口及上颌前庭切口,暴露眶下缘、眶外侧壁、颧弓以及颧牙槽嵴骨折端,复位后对后3处骨折端行钛接骨板坚固内固定,术后随访3～12个月,对其疗效进行评价.结果:所有患者术后均一期愈合,其面形、咬合功能及局部感觉均获得满意效果.结论:冠状切口联合上颌前庭切口能充分显露颧骨复合体骨折部位,三点固定能有效恢复面部三维结构,减少睑下附加切口的手术操作及并发症.
Objective: To explore effective methods for zygomatic complex fracture. Methods: Coronal incisions and upper vestibule incisions were applied in 28 patients, through which fracture lines of suborbital edge, outside wall of orbital cavity, zygomatic arch and zygoma-alveolar column were exposed. After accurate reduction, rigid fixation by titanium plates between fracture lines of outside wall of orbital cavity, zygomatic arch and zygoma-alveolar column were done. The patients were followed up after 3-12 months. Results: All patients acquired satisfactory outcome with ideal facial figure, occlusion, and normal nerve function. Conclusions: Coronal incisions combined with upper vestibule incisions can fully expose fractured sites, and 3-site rigid fixation can effectively resume the 3-dimension structure of face. The method is suitable for the treatment of zygomatic complex fracture for the decrease of subeyelid incision and some complications of surgical operation.
出处
《口腔医学研究》
CAS
CSCD
2005年第2期203-205,共3页
Journal of Oral Science Research
关键词
颧骨骨折
坚固内固定
冠状切口
Zygomatic Fracture Rigid Internal Fixation Coronal Incision
