复杂性面骨骨折的处理  

TREATMENT OF COMPLICATED FRACTURE OF FACIAL BONE

作　　者：贾暮云[1] 李宁毅[1] 孙健[1] 尚伟[1] 袁荣涛[1] 杨翠娟 

机构地区：[1]青岛大学医学院附属医院口腔颌面外科,青岛266003 [2]莒县中医院口腔科

出　　处：《青岛大学医学院学报》2001年第3期225-226,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的　探讨复杂性面骨骨折临床治疗方法及效果。②方法　对 18例面骨多处骨折或多发、陈旧性骨折的病人采用冠状切口加口内切口、面部小切口加口内切口相结合的术式及正颌外科、微小夹板固定技术 ,进行再骨折复位或截骨复位、固定。③结果　全部病人术后张口无受限 ,咬雅合关系良好 ,功能及形态满意 ,复视消失。2例出现再次脑脊液鼻漏 ,经 7～ 8d后愈合。无其他严重并发症出现。④结论　复杂性面骨骨折应选择合适时机 ,根据病情采用不同的术式治疗 。Objective\ To study the method and effect of the treatment for complicated fracture of facial bone. \ Methods A coronoid incision plus oral incision or facial small incision were used and plastic surgery or mini splint fixation were applied in fixation or reposition for 18 patients with multiple fractures or multiple old fractures of facial bone.\ Results\ The opening of the mouths of all the patients was not limited. The occlusion was good. The function and morphology were satisfactory. Double vision was eradicated. A craniosinus fistala recurred in 2 cases and healed after 7-8 days of treatment. No other severe complications were encountered.\ Conclusion\ A good result can be obtained in the treatment of complicated facial fracture so long as the patient is treated in proper opportune time by proper method.

关 键 词：颌面骨骨折 上颌面部损伤 面部不对称 颌面修复术 

分 类 号：R782.4[医药卫生—口腔医学]