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目的探讨下颌骨外斜线外下切口引流治疗咬肌间隙感染的临床效果。方法 2009年7月至2010年5月,宜宾市第一人民医院颌面外科采用以咬肌前缘和下颌骨外斜线的交点为标志点,于下颌骨外斜线外侧0.5cm处沿下颌前庭沟由后向前切开软组织,建立引流通道的方法治疗咬肌间隙感染病例26例。术后随访12个月,分析手术治疗的效果和并发症。结果 26例咬肌间隙感染患者均得到良好控制,好转率100%,未见不良并发症。面部无瘢痕,两侧面型对称良好。结论下颌骨外斜线外下切口治疗咬肌间隙感染引流效果好,并发症少,且不影响美观。
Objective To investigate the clinical effect of external mandibular external oblique incision drainage in treating masseter interstitial infection. Methods From July 2009 to May 2010, the first People’s Hospital of Yibin City, the maxillofacial surgery to masseter with the front edge of the mandibular external oblique line intersection point mark, outside the mandibular external oblique 0.5cm along the mandibular The vestibular groove was cut back forward by soft tissue, the establishment of drainage channels in the treatment of masseter muscle interstitial infections in 26 cases. The patients were followed up for 12 months to analyze the effect and complications of surgical treatment. Results 26 cases of masseter muscle interstitial infection patients were well controlled, improvement rate of 100%, no adverse complications. No scar on the face, good symmetry on both sides. Conclusion External mandibular external oblique incision for the treatment of masseter muscle interstitial infection drainage effect, less complications, and does not affect the appearance.