论文部分内容阅读
目的:探讨面中部骨折的治疗方法和疗效。方法:回顾性分析1999～2010年收治的80例面中部骨折病例的手术方法和疗效。根据临床症状、全颌曲面断层片及CT片综合分析骨折情况,采用原开放性伤口、耳前发迹内小切口、眶周小切口、上颌前庭沟切口、头皮冠状切口进行组合进路行骨折复位,微型钛板进行坚强内固定。结果:77例创口Ⅰ期愈合,3例创口感染延期愈合。全部病例术后咬合关系、开口度基本恢复正常,咬合关系恢复不佳者经1～2周颌间牵引后恢复正常。面部外形恢复满意,无明显手术瘢痕、复视基本消失。结论:面中部骨折的治疗要恢复咬合关系并兼顾面部外形。
Objective: To explore the treatment of middle facial fractures and its curative effect. Methods: The surgical methods and curative effects of 80 cases of middle facial fracture treated in our hospital from 1999 to 2010 were analyzed retrospectively. According to the clinical symptom, the total jaw curved surface slice and the CT slice comprehensively analyzed the fracture situation. The original open wound, the small anterior ear hair incision, the small periorbital incision, the maxillary vestibular groove incision and the scalp coronal incision were combined to reduce the fracture , Titanium plate for strong internal fixation. Results: 77 wounds healed in the first period and wound healing in 3 wounds was delayed. All patients had occlusal relationship, the degree of opening returned to normal, and the recovery of occlusal relationship was poor. The patients returned to normal after 1 ~ 2 weeks’ intermaxillary traction. Face shape recovery satisfaction, no obvious surgical scar, diplopia disappeared. Conclusion: The treatment of facial midfacial fractures should restore the occlusal relationship and take into account the facial contour.