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由于颌骨与颅脑解剖关系密切,所以颌面部外防,特别是上颌骨骨折往往并发颅脑损伤。对于这种病情,系优先处理颅脑损伤,因而可能延误处理颌骨骨折的时机,发生错位愈合畸形,影响外形及咬(牙合)功能。近年来,我们采用Lefort Ⅰ型断骨术治疗两例上颌骨骨折合并颅脑损伤治愈后遗留上颌骨错位愈合的患者,取得较满意的效果。例一:贺××,男,41岁,农民。因车祸头部撞伤,以枕部头皮撕脱伤,颅底骨折,脑挫伤,左颌面部裂伤,左上颌骨、颧骨、
Due to the close relationship between jaw and brain anatomy, maxillofacial external defense, especially maxillary fractures are often complicated by craniocerebral injury. For this condition, priority is given to the treatment of craniocerebral injury, which may delay the timing of treatment of jaw fracture, malposition occurred malformations, affecting the shape and bite (occlusion) function. In recent years, we use Lefort Ⅰ type osteotomy for the treatment of two cases of maxillary fractures combined with craniocerebral injury left after the treatment of patients with dislocation of the maxillary malformation, and achieved more satisfactory results. Example 1: He × ×, male, 41 years old, farmer. Due to accidental head injury, occipital scalp avulsion, skull fracture, brain contusion, left maxillofacial laceration, left maxillary, zygomatic,