以颧蝶缝为标准复位颧骨骨折  

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]山东省立医院口腔颌面外科,250021

出　　处：《华西口腔医学杂志》2003年第5期364-365,共2页West China Journal of Stomatology

摘　　要：目的　比较以颧蝶缝为标准和采用常规方法复位颧骨骨折的效果。方法　选择Zingg分类的B型和C型骨折 5 5例 ,分别采用以颧蝶缝复位和常规方法复位 ,术后比较面型恢复程度和X线片上颧骨颧弓的对称性。结果　 36例以颧蝶缝为标准复位的患者术后均获得满意的面型 ,19例常规方法复位的患者有 5例术后面型及X线片颧骨颧弓不对称。结论　颧骨骨折手术复位时 ,以颧蝶缝为标准 ,结合颧骨各突起骨折的对位对线可使颧骨准确复位 ,从而恢复正常的面型。Objective\ To retrospectively investigate the effectiveness of sphenzygomatic suture as a guide in the reduction of zygomatic complex fracture.Methods\ 55 cases of zygomatic complex fracture classified according to Zingg classification were treated, sphenozygomatic suture in group 1 (n=36) was reduced first, then the other fracture line was reduced, in group 2 (n=19), malar bone was reduced according to superficial fracture line. Patients were followed up for 4 weeks to 3 months, aesthetic result and X_ray symmetry were observed.Results\ All patients in group 1 were restored with satisfactory facial contour, 35 cases got precise reduction, 5 cases in group 2 were asymmetry.Conclusion\ During open reduction of complex zygomatic fracture, sphenozygomatic suture should be reduced at first as a guide, so as to get precise zygomatic complex reconstruction and normal aesthetic outcome.

关 键 词：颧蝶缝 复位 颧骨骨折 手术方法 面型 

分 类 号：R782.4[医药卫生—口腔医学]