颞肌上入路头皮冠状切口治疗颅颌面骨折临床效果分析  

Analysis on clinical effect of supratemporalis approach scalp coronal incision for treating craniomaxillofacial fracture

作　　者：罗文 文少敏[1] 周岚[1] 郑根建[1] 

机构地区：[1]海南医学院第一附属医院口腔科,海口570102

出　　处：《重庆医学》2018年第2期193-194,197,共3页Chongqing medicine

基　　金：海南医学院校培育基金(HY2016-14)

摘　　要：目的探讨颞肌上入路头皮冠状切口治疗颅颌面骨折的疗效。方法对52例采用头皮冠状切口传统入路的患者进行回顾性研究,了解其面神经损伤情况。对30例患者采用头皮冠状切口颞肌上入路并记录其面神经损伤情况,随访观察6~24个月。结果 82例患者术后面型、张口度及咬合功能恢复良好。传统入路组中,8例患者发生面神经暂时性损伤;颞肌上入路组中,无患者出现面神经损伤(P<0.05)。结论颞肌上入路头皮冠状切口能有效避免面神经损伤。Objective To investigate the effect of supratemporalis approach scalp coronal incision for treating craniomaxillofacial fracture. Methods Fifty-two cases of traditional coronal scalp approach were retrospectively analyzed for understanding the facial nerve damage situation. Then 30 cases adopted the supratemporalis approach scalp coronal incision and the facial nerve damage situation was recorded. The follow-up observation lasted for 6-24 months. Results The facial contour,mouth opening and occlusion function recovered well after the operation in all 82 cases. Eight cases of temporary facial nerve injury were observed in the traditional approach group. No case of facial nerve injury occurred in the supratemporalis approach group（P〈0.05）. Conclusion The supratemporalis approach scalp coronal incision can effectively avoid the facial nerve injuries.

关 键 词：颧骨 骨折 面神经损伤 冠状切口 颞肌上入路 

分 类 号：R782.2[医药卫生—口腔医学]