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A clinical investigation on the surgical approach and fixation in operative treatment of zygomatic fractures
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF STOMATOLOGY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:1002-0098.2004.01.005
- Key Word:
- 颧骨骨折;骨折固定术;坚固内固定
Abstract： 目的探讨颧骨骨折复位的径路与钛板固定部位.方法总结65例(65/70)颧骨或颧骨复合体骨折手术复位固定患者的软组织切口、钛板固定部位、钛板数目,术后随访3～24个月,按三级标准评价手术效果,其中包括面形和功能的恢复,手术切口愈合情况;观察术后X线片,统计钛板的固定部位、数目及手术并发症.结果手术软组织切口均一期愈合;面形恢复满意、两侧对称、开闭口功能正常18例(25.7%);面形恢复两侧基本对称,开闭口功能正常46例(65.8%);面形恢复两侧不对称,开闭口功能基本恢复为6例(8.5%);头皮下血肿5例,钛板外露1例,头皮有不规则瘢痕且宽度>0.5 cm 6例,额部和头皮感觉异常8例.结论应用冠状切口(包括口内联合切口)对51例(51/65)进行颧骨和颧骨复合体骨折复位固定,具有术野显露广泛、在明视下解剖复位、精确固定的优点.65例共用钛板179块,坚固内固定具有精确固位、外形稳定的优点.单纯颧骨骨折下端内陷或外翘移位可做一点固定,其他骨折尤其是复杂或陈旧性骨折均应做二点或多点固定.
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