眉侧入路颧蝶缝复位在颧骨复合体骨折中的应用  

The application of lateral brow incision by the guide of sphenozygomatic suture for zygomatic complex fracture

作　　者：周文清 吴燕平 陈学军 康春慧 郭海波 周永强 

机构地区：[1]江苏省南通市口腔医院口腔颌面外科,江苏南通226001

出　　处：《上海口腔医学》2009年第5期480-482,共3页Shanghai Journal of Stomatology

摘　　要：目的:探讨经眉侧切口颧蝶缝复位在颧骨复合体骨折中的应用价值。方法:选择Zingg分类的B型和C型骨折26例,采用眉侧切口、睫下切口、口内前庭沟切口显露额颧缝、颧蝶缝、眶下缘、颧颌缝和颧颞缝,以颧蝶缝复位为标准,精确复位后,用微型钛板对额颧支柱、眶下缘、颧上颌支柱行坚强内固定。术后随访3～24个月,对其疗效进行评价。结果:26例患者伤口均一期愈合,局部无明显瘢痕,21例B型骨折和2例C型骨折外形和功能恢复良好,X线观察达到解剖复位,3例C型骨折术后面部轻度不对称。结论:眉侧切口颧蝶缝复位整复颧骨复合体骨折并行坚强内固定,创伤小,面神经功能无损伤,外形和功能恢复良好,值得推广。PURPOSE： To explore the application of lateral brow incision by the guide of sphenozygomatic suture for zygomatic complex fracture. METHODS： Lateral brow incision combined with intraoral vestibule incision and below cilia incision were applied in 26 patients who had Zingg＇s type B and C zygomatic complex fracture,through which the fracture lines around the forehead and zygomatic suture, sphenozygomatic suture, suborbital edge, zygomatic maxillary suture, zygomatic temporal suture, zygoma- alveolar column were exposed. After accurate reduction by the guide of sphenozygomatic suture ,rigid fixation by titanium plates was performed. The patients were followed up for 3-24 months. RESULTS： Twenty-three patients acquired satisfactory outcome with ideal facial figure,function and minimal scar and 3 patients of type C developed mild asymmetric facial contour. CONCLUSIONS ： The application of lateral brow incision by the guide of sphenozygomatic suture and rigid fixation for zygomatic complex fracture approach leaves minimal scar and injury to the facial nerve, with better esthetic and functional outcome.

关 键 词：颧骨复合体骨折 坚强内固定 眉侧切口 颧蝶缝 

分 类 号：R782.4[医药卫生—口腔医学]