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目的:探讨全面部骨折的急诊处理和治疗方法。方法:对37例全面部骨折患者实施切开复位钛板坚强内固定+颌间或颅颌牵引,复位次序遵循“从固定到活动,从简单到复杂”的原则。结果:34例患者经治疗后均取得满意效果,咬合关系恢复良好,功能恢复正常,面形基本恢复正常。结论:全面部骨折通过面部小切口切开,按从固定到活动,从简单到复杂的复位固定顺序,辅以颌间结扎牵引进行固定,方便、可行,可取得良好效果。
Objective: To investigate the emergency treatment and treatment of total fractures. Methods: Thirty-seven patients with total fractures were treated with open reduction and internal fixation of titanium plate and intermaxillary or cranial jaw traction. The resetting order followed the principle of “from fixation to activity, from simple to complex”. Results: All 34 patients achieved satisfactory results after treatment. The occlusal relationship recovered well, the function returned to normal, and the facial shape returned to normal. Conclusion: All fractures of the face can be cut through a small incision in the face. The procedure is simple, convenient and feasible, and can achieve good results from fixation to movement, from simple to complex reduction and fixation sequence, and assisted by intermaxillary ligation and traction.