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颧骨体本身一般较少发生骨折,较大的暴力打击除外。一般指的颧骨体骨折系指颧骨体与颅骨、面骨的骨联接缝的分离。此型骨折多伴有明显的移位,必须采用手术复位固定。可因伤部和伤型不同,选用不同方法,可选择的手术进路有二种。 1.口外复位法:计有颞部切开复位法,适用于颧骨骨折轻度内移位,此为目前普遍采用的一种;眉弓切开复位法,适用于颧骨体移位较大者;眶下缘骨钉法,适用于颧骨体不稳定转位骨析,而眶下缘无粉碎骨折者,开放复位颧额缝骨缘钢丝结扎,并加辅助固定,适用于颧骨骨折伴有移位或眶底碎片型骨折时,除颧额缝骨缘固定外,上颌窦内用Foley氏导管作辅助固定。亦有主张切开复位后,外加斯氏针内固定;三脚钩牵引复位法,适用于颧骨多处骨折,伴有复视
Zygomatic body itself less fractures generally occur, except for the larger violence against. Generally refers to the zygomatic body fracture refers to the separation of the zygomatic body and the skull, facial bone joint seams. More fractures associated with this type of shift, you must use surgical reduction and fixation. May be due to different injuries and injuries, choose different methods, there are two alternative surgical approach. 1. Oral reposition method: There are temporal resection and reduction method for mild internal lumbar zygomatic displacement, which is currently a common method; open reduction of the eyebrow arch, suitable for zygomatic body displacement than Large; infraorbital bone nailing method for unstable zygomatic translocated bone analysis, and no fracture of the infraorbital fracture who open the front zygomatic frontal seam edge wire ligation, and assisted fixation, for zygomatic bone Fractures with displacement or orbital debris fragments, in addition to the zygomatic frontal margin fixed, the maxillary sinus with Foley's catheter as a secondary fixation. Also advocated open reduction, plus Needle internal fixation; tripod traction traction reduction method for multiple fractures of the cheekbones, accompanied by diplopia