摘要
目的总结颧上颌复合体(ZMC)骨折的诊断、治疗方法和经验。方法颧上颌复合体骨折35例,术前经螺旋CT三维重建,通过冠状切口、眶周小切口、口内上颌切口进行解剖复位,再进行牢固内固定术。术后随访3个月至2年,复查的内容包括面部外形、张口度、咬合关系、眶下区麻木症状及其他眼部症状。结果35例患者中,32例面部外形恢复正常高度和宽度,双侧颜面部对称(另3例恢复外形欠佳),张口度正常,咬合关系恢复,眶下区麻木症状消失,复视症状明显改善。结论对于颧上颌复合体骨折患者,通过冠状切口结合眶周小切口、口内上颌切口,应用钛板行坚固内固定术,可以获得满意的效果。
Objective To introduce the methodology and experience about the diagnosis and treatment of ZMC fractures. Methods Rigid internal fixation was used in 35 patients with ZMC fractures after 3D spiral CT examination and anatomical reduction, using coronal incision, infraobital incision, vestibular incision. The patients were followed up for 3 to 24 months. Results In the 35 cases,32 cases regained the nomal height and width of facial shape, the faces were symmetry, mouth opening was nomal, occlusion was gave back, infraobital numbness was disappearance, and displopia was ameliorated. Conclusion Using coronal incision, infraobital incision and vestibular incision,and rigid internal fixation with titanium plates, satisfied outcome can be achieved in patients with ZMC fractures.
出处
《中国基层医药》
CAS
2005年第7期836-837,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颧上颌复合体骨折
治疗
诊断
CT三维重建
Zygomaxillary complex multiple fractures
Tomography, X-ray computed
Fracture fixation, internal
