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目的 :探讨严重颅面复合伤的诊断与治疗方法。方法 :严重颅面复合伤 2 1例 ,经面部开放性创口行骨折复位固定 9例 ,面中部掀翻术进路复位固定 4例 ,颅面联合切口骨折复位固定 4例 ,多切口骨膜下隧道贯通暴露法复位固定 4例。行关闭颌间结扎固定治疗 12例 ,采用开放坚强内固定技术治疗 9例。结果 :随访 16例 ,咀嚼功能均恢复。结论 :颅面复合伤是一种复杂急症 ,要求医生掌握全面的骨折分类法及综合诊断能力 ,并应重视手术复位和坚强内固定技术的应用
Objective: To investigate the diagnosis and treatment of severe craniofacial complex injury. METHODS: Twenty-one patients with severe craniofacial complex injury underwent open fracture reduction and fixation in 9 patients. Four patients underwent median lift-off surgery, 4 underwent craniofacial incision fracture reduction and fixation, 4 underwent multiple incision subperiosteal tunnel Through exposure method to reset fixed in 4 cases. Twelve cases were treated with intermaxillary ligation, and 9 cases were treated with open internal fixation. Results: Followed up 16 cases, masticatory function recovered. Conclusion: Craniofacial complex injury is a complex emergency requiring doctors to have a comprehensive fracture classification and comprehensive diagnostic capabilities, and should pay attention to the application of surgical reduction and rigid internal fixation