颧蝶缝复位在颧骨骨折治疗中的意义  

Sphenozygomatic Suture as A Guide in the Reduction of Zygomatic Fracture

作　　者：李文刚[1] 张世周[1] 袁锡兰[1] 

机构地区：[1]山东省立医院口腔科,山东济南250021

出　　处：《上海口腔医学》2003年第2期112-114,共3页Shanghai Journal of Stomatology

摘　　要：目的提出一种颧骨复位时的参照标准。方法选择采用经头皮冠状切口手术的Zingg分类的B型和C型骨折36例,术中先将颧蝶缝复位,再将其它骨折线复位、固定。术后随访4周～3个月,观察面型恢复程度和X线上颧骨、颧弓的对称性。结果病人术后均获得满意的面型,X线观察有35例达到准确的解剖复位,仅有1例骨折连续性稍差。结论颧骨骨折手术复位时,将颧蝶缝复位,结合颧骨各突起骨折的对位对线,可以使颧骨准确复位,从而恢复正常的面型。Objective To investigate the effectiveness of sphenzygomatic suture as a guide in the reduction of zygomatic complex fracture.Methods36cases of zygomatic complex fracture according to Zingg classification were treated.Reduce sphenozygomatic suture first,then reduce the other fracture line and fixed with titanium micro-plates.Patients were followed up for4weeks to3months,aesthetic results and X rays symmetry were observed.Results All patients restored satisfactory facial contour,35cases got precise reduction,only1patients had slightly discontinued zygomatic arch and infraorbital rim.Conclusion During open reduction of zygomatic fracture,reducing sphenozygomatic suture first,combined with other fracture lines will reconstruct zygomatic complex precisely,and got normal aesthetic outcome.

关 键 词：颧蝶缝 复位 颧骨 骨折 治疗 颧弓 X线 对称性 

分 类 号：R782.4[医药卫生—口腔医学]