改良耳颞切口在颧骨颧弓骨折患者开放复位手术中的应用  

Clinical application of modified preauricular and temporal approach for open reduction and fixation in zygomatic bone and arch fracture

作　　者：章宏毅[1] 彭国栋[1] 佘小伟[1] 李祖兵[2] 张卓[3] 

机构地区：[1]长江大学附属第一医院口腔颌面外科,湖北省荆州市434000 [2]武汉大学口腔医学院口腔颌面外科 [3]松滋市人民医院口腔科

出　　处：《中华医学美学美容杂志》2015年第3期133-135,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨改良耳颞切口在颧骨、颧弓骨折患者开放复位手术中的临床效果.方法 应用改良耳颞手术切口,对43例颧骨、颧弓骨折患者行开放复位,观察该切口的暴露程度,术中出血,术后术区皮肤弹性、质地及神经功能情况,并了解患者对手术切口的满意度.结果 新的手术切口可暴露整个颧弓上部及眶外侧缘,满足颧骨、颧弓联合手术的口外切口暴露需要,术中出血少,所有手术伤口均I期愈合,无患者出现颞区麻木及面瘫症状,术后半年皮肤弹性良好者41例（95.3％）.患者对切口的满意度达100％.结论 改良耳颞手术切口在功能与美观上都优于头皮冠状切口和面部经皮小切口的手术,减少了手术范围、手术损伤与并发症.Objective To explore a new approach that is better than coronal scalp incision and facial percutaneous small incision in surgical treatment of zygomatic bone and zygomatic arch fracture.Methods The modified auriculotemporal incision was applied in 43 patients with zygomatic bone and zygomatic arch fracture that needed open reposition,and the exposure degree,bleeding,postoperative elasticity and texture of skin,facial nerve function and satisfactory degree were evaluated after operation.Results In present study,the upper part of zygomatic arch and lateral orbital margin could be greatly explored for operation of zygomatic bone and zygomatic arch fracture in all 43 patients by application of this approach.Less bleeding was observed during operation.All patients had primary healing and none of them presented with temporal numbness and facial palsy.After 6 months follow-up,41 cases （95.3％） and 43 cases （100％） showed fine elasticity of operative skin and satisfactory degree,respectively.Conclusions The modified auriculotemporal incision is better than conventional approach in surgical treatment of zygomatic bone and zygomaticarch fracture.

关 键 词：颧骨 颧弓 骨折 改良耳颞切口 功能与美观 

分 类 号：R782[医药卫生—口腔医学]