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目的:总结分析坚固内固定术治疗面中部骨折的手术切口及暴露方法,探讨骨折复位及固定钛板的合理手术径路。方法:对76例手术病例进行总结,将骨折发生的部位及面部切口在每次手术中被使用的次数进行计数统计,分析各种手术径路的手术适应证及优缺点。术后随访半年以上,观察咬合功能恢复情况及面部美容效果。结果:上颌骨、颧骨骨折发病率较高,唇龈沟及下睑缘下隐蔽小切口的使用次数最多。半年后,面部切口愈合良好,无明显手术瘢痕形成,咬合功能恢复好。结论:合理选用手术切口能兼顾骨折部位暴露及面部美学效果。
OBJECTIVE: To summarize and analyze the surgical incision and exposure methods for the treatment of midface fractures with rigid internal fixation, and to explore the reasonable surgical approaches for the reduction and fixation of titanium plate. Methods: A total of 76 surgical cases were summarized. The number of fractured sites and facial incisions used in each operation were counted, and the surgical indications and advantages and disadvantages of various surgical approaches were analyzed. Follow-up more than six months after surgery to observe the bite function recovery and facial cosmetic results. Results: The morbidity of maxillary and zygomatic fractures was high, and the use of concealed small incisions under lip gingival sulcus and inferior eyelid was the most frequently used. Six months later, the facial incision healed well, no obvious surgical scar formation, good bite function recovery. Conclusion: Reasonable selection of surgical incision can take into account the fracture site exposure and facial aesthetic effect.