论文部分内容阅读
目的 :颧骨、颧弓骨折通常需要冠状切口、下睑切口和口内切口进路,逐一进行裂开骨折段的复位固定。本文旨在探索一种简便而可靠的修复方法。方法:针对颧骨、颧弓骨折其内侧相邻的上颌骨结构稳定、颧骨的近中骨折端移位不明显的6例患者,采取半冠状切口,按顺序复位固定的方法,由后向前做颧弓骨折段的复位固定,核查眶外壁颧额缝和颧蝶缝的衔接无误,最后完成颧额缝处骨折的固定。不需做下眼睑、口内切口以及眶下缘颧上颌缝的固定和口内颧牙槽嵴的骨折固定。结果:本组6例病例均顺利完成骨折复位与固定。术后CT扫描显示各个骨折断端,包括上颌窦后外壁、眶外壁等,都获得精确的解剖复位和牢固固定。两侧面部宽度和颧骨突度基本对称,面形恢复满意。开、闭口功能正常。未发生颞下颌关节损伤、视力损害及面神经额支损伤。结论:应用近中骨折端稳定的颧骨骨折的简略复位固定技术,可恢复颧骨、颧弓的解剖位置。
Objective: Zygomatic and zygomatic arch fractures often require coronal incision, lower eyelid incision and incision approach, one by one fracture reduction and fixation. This article aims to explore a simple and reliable method of repair. Methods: Six patients with zygomatic arch and zygomatic arch fractures with stable maxillary structures on the medial side and no significant displacement of the proximal and midbone fractures of zygomatic masts were treated with semi-coronal incision, followed by reduction and fixation in the backward direction Before the zygomatic arch fractures of the reset, check the orbital zygomatic zygomatic seams and zygomatic seams convergence is correct, and finally completed zygomatic frontal fracture fixation. Do not need to do under the eyelids, intraoral incision and the infraorbital margin zygomatic maxillary suture fixation and oral zygomatic alveolar ridge fracture fixation. Results: The 6 cases of this group were successfully completed fracture reduction and fixation. Postoperative CT scan showed that the fracture of each fracture, including the maxillary sinus posterior wall, orbital wall, etc., have been accurately anatomic reduction and firm fixation. Both sides of the width of the face and the cheekbones were basically symmetrical, face shape recovery satisfaction. Open, closed mouth function is normal. No temporomandibular joint injury, visual impairment and facial nerve branch injury. Conclusion: The simple reduction and fixation of the zygomatic fractures with proximal and distal fractures can restore the anatomical position of zygoma and zygomatic arch.