论文部分内容阅读
目的:探讨应用头皮冠状切口联合局部小切口治疗面中部骨折的方法及并发症的处理。方法:回顾性分析2005年—2010年我院收治的面中部复杂骨折患者经头皮冠状切口联合局部小切口切开复位微型钛板坚固内固定病例63例的临床资料。结果:63例患者创口均Ⅰ期愈合,8例术后出现咬合关系不良,经过理疗、调合后咬合关系恢复良好,颌面部外型及张口度正常,经治疗并随访均取得了较为满意的效果。结论:头皮冠状切口联合局部小切口治疗面中部骨折,术野暴露清楚,在直视下便于操作;切口隐蔽安全,不影响美观,微型钛板固定稳定,组织相容性好,是治疗面中部骨折的一种较理想的方法。
Objective: To investigate the treatment of complications and the treatment of middle facial fractures by using scalp coronal incision combined with local small incision. Methods: The clinical data of 63 patients with rigid internal fixation of miniature titanium plate underwent open scalp coronal incision and local small incision in 2005 to 2010 were retrospectively analyzed. Results: The wounds of all the 63 patients were healed in the first stage, and the occlusion relationship was poor in 8 cases. After treatment, the occlusal relationship recovered well after reconciliation. The shape and mouth of the maxillofacial region were normal and satisfactory after treatment and follow-up Effect. Conclusion: The scalp coronal incision combined with local small incision in the treatment of midfacial fractures, surgical field exposure clear, easy to operate under direct vision; incision safe, does not affect the appearance of micro-titanium plate fixed stability, good tissue compatibility, is the treatment of midface A more ideal method of fracture.