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目的:在颧骨颧弓联合骨折手术中,探寻一种优于头皮冠状切口的手术进路。方法:改良耳颞手术切口,用于颧骨颧弓骨折开放复位病例35例,观察该手术进路的术区显露程度,术中出血情况,术区皮肤弹性及神经功能情况,了解患者对手术切口的满意度。结果:35例患者均可显露整个颧弓上部及眶外侧缘,满足颧骨颧弓联合手术的显露需要,术中出血少,手术切口均I期愈合,没有出现颞区麻木及面瘫症状,术后半年皮肤弹性良好者33例,达94.29%。患者对切口的满意度100%。结论:改良耳颞手术切口优于头皮冠状切口的手术进路。
OBJECTIVE: To explore a surgical approach superior to scalp coronal incision in zygomatic zygomatic arch joint fracture surgery. Methods: To improve the ear-to-ear surgical incision for open reduction of zygomatic arch fractures in 35 cases. To observe the extent of operation, the degree of intraoperative bleeding, the skin elasticity and neurological function, Cutting satisfaction. Results: All the 35 patients could reveal the upper part of the zygomatic arch and the lateral margin of the orbital margin to meet the need of the zygomatic arch zygomatic arch surgery. There was less bleeding and the incision healed in one month. There were no symptoms of numbness and facial paralysis in the temporal area The second half of good skin elasticity in 33 cases, up to 94.29%. Patient satisfaction with incision 100%. Conclusion: The modified ear-temporal surgical incision is superior to the surgical approach of the scalp coronal incision.