微创技术在复杂性面中部骨折治疗中的应用  

The application of minimally invasive techniques to complex midfacial fractures

作　　者：钟凡[1] 关崧华[1] 邓书海[1] 郭毅[1] 赵继刚[1] 陈玉婷[1] 雷欣[1] 

机构地区：[1]南方医科大学附属南海医院口腔科,佛山528200

出　　处：《中华口腔医学研究杂志（电子版）》2014年第3期31-34,共4页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：目的探讨微创技术在复杂性面中部骨折的临床治疗效果。方法在三维CT检查后,对23例复杂性面中部骨折的患者采用原伤口、多个面部小切口、口内前庭沟切口、辅助内镜或穿颊器等微创技术相结合的术式及坚固内固定技术,进行骨折的整复和功能重建。结果术后1、3、6个月复查,全部患者的开口度正常,咬合关系良好,功能及面形恢复较好,无其他严重并发症出现。结论应用微创技术治疗复杂性面骨骨折,是一种较理想的治疗方法。Objective To evaluate the efficacy of minimally invasive techniques in the treatment of complex midfacial fractures.Methods Twenty-three complex midfacial fractures cases received spiral 3D-CT scanning,the combined approach adopts incision around the original opening wound,multi facial minimal incisions,intraoral vestibular groove incision with minimally invasive techniques through endoscope or transbuccal trochar.All fracture fixed by rigid internal fixation,observe the patient＇s anatomical reduction,facial symmetry,mouth opening and a variety of complications to evaluate the outcome of the surgery.Results With average follow-up range from 1-6 months,all patients＇s facial profile,mouth opening and occlusion were normal.No severe complications occurred.Conclusion The application of minimally invasive techniques is an ideal and effective way for complex midfacial fracture treatment.

关 键 词：面中部骨折 复杂性骨折 穿颊器 内镜 微创治疗 

分 类 号：R782.4[医药卫生—口腔医学]