口腔颌面外科杂志
口腔頜麵外科雜誌
구강합면외과잡지
CHINESE JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
2014年
4期
285-288
,共4页
彭布强%高振杰%申露露%郝保平%蔡明河
彭佈彊%高振傑%申露露%郝保平%蔡明河
팽포강%고진걸%신로로%학보평%채명하
改良冠状切口%颧骨复合体骨折%坚固内固定%面神经%腮腺上极%颞筋膜
改良冠狀切口%顴骨複閤體骨摺%堅固內固定%麵神經%腮腺上極%顳觔膜
개량관상절구%권골복합체골절%견고내고정%면신경%시선상겁%섭근막
modified coronal incision%zygomatic complex fracture%internal rigid fixation%facial nerve%superior ex-tremity of parotid gland%temporal fascia
目的：探讨改良头皮冠状切口在各类颧骨复合体骨折坚固内固定术中的应用。方法：将87例颧骨复合体骨折病例分为改良组和传统组，分别应用改良冠状切口（42例）与传统切口（45例）进行复位和固定，对比分析改良冠状切口的优越性、可能并发症及预防措施。结果：改良组切口均Ⅰ期愈合，随访3～6个月，面部瘢痕不明显，开口度恢复理想，咬合关系正常，术后秃发率及颞部凹陷率较低，无1例出现面神经功能障碍。传统组中，2例术后第5天出现创区感染，切口延期愈合，术后肿胀反应明显；4例患者术后3月时仍存在面神经功能障碍，术后秃发率及颞部凹陷率较高。结论：改良冠状切口较传统切口具有切口隐蔽、术野暴露好、复位精确、美观效果好、面神经损伤率低等优点，值得推广应用。
目的：探討改良頭皮冠狀切口在各類顴骨複閤體骨摺堅固內固定術中的應用。方法：將87例顴骨複閤體骨摺病例分為改良組和傳統組，分彆應用改良冠狀切口（42例）與傳統切口（45例）進行複位和固定，對比分析改良冠狀切口的優越性、可能併髮癥及預防措施。結果：改良組切口均Ⅰ期愈閤，隨訪3～6箇月，麵部瘢痕不明顯，開口度恢複理想，咬閤關繫正常，術後禿髮率及顳部凹陷率較低，無1例齣現麵神經功能障礙。傳統組中，2例術後第5天齣現創區感染，切口延期愈閤，術後腫脹反應明顯；4例患者術後3月時仍存在麵神經功能障礙，術後禿髮率及顳部凹陷率較高。結論：改良冠狀切口較傳統切口具有切口隱蔽、術野暴露好、複位精確、美觀效果好、麵神經損傷率低等優點，值得推廣應用。
목적：탐토개량두피관상절구재각류권골복합체골절견고내고정술중적응용。방법：장87례권골복합체골절병례분위개량조화전통조，분별응용개량관상절구（42례）여전통절구（45례）진행복위화고정，대비분석개량관상절구적우월성、가능병발증급예방조시。결과：개량조절구균Ⅰ기유합，수방3～6개월，면부반흔불명현，개구도회복이상，교합관계정상，술후독발솔급섭부요함솔교저，무1례출현면신경공능장애。전통조중，2례술후제5천출현창구감염，절구연기유합，술후종창반응명현；4례환자술후3월시잉존재면신경공능장애，술후독발솔급섭부요함솔교고。결론：개량관상절구교전통절구구유절구은폐、술야폭로호、복위정학、미관효과호、면신경손상솔저등우점，치득추엄응용。
Objective: To summarize the effects of a modified coronal incision in treating various zygomatic complex frac-tures (ZCF). Methods: 87 patients with zygomatic complex fractures were divided into two groups in the light of incision sites, which were conventional incision group (n=45) and modified coronal incision group (n=42). Operative procedures in-cluding open reduction and internal rigid fixation were performed. The advantages, potential complications and preventive measures were analysed and compared. Results:In the modified incision cases, healing with first intention achieved in all patients. After 3-6 months follow-up, the scars were not obvious, mouth opening and occlusion were greatly improved, function of facial nerves were all normal. In the conventional incision cases, 2 patients showed postoperative infection, 4 patients still had damaged facial nerve function until 3 months postoperation. The proportion of alopecia and depression of temporal region were high in conventional incision group. Conclusion:The modified temporal coronal incision demonstrat-ed a concealment, better exposured, accurate repositioned, and satisfactory both in appearance and functions benefits.
