摘要
目的探讨眶颧外伤后严重错位畸形的手术矫正方法。方法眶颧分块截骨,将眶外下截骨块向内上移位固定,将颧突颧弓块向外上提升固定。结果治疗22例,眶外下缘向内、向上平均移位各8.1mm,颧突向上向外平均提升9.2mm并平均内旋1.5mm。平均随访6个半月,无明显复发,外形良好。结论眶颧分块截骨异向提升术可以有效地治疗严重眶颧外伤后错位畸形。
Objective For reconstruction of secondary orbit-zygomatic deformities after severe malar fracture. Methods We made shaped segements in orbito-zygoma region using lamella osteotomy, rearranged inferior and lateral orbital segment with inner and upper movement, and fixed the zygomatic fragment in new place with lateral and upward movement. Pre and post operative measurements including Hetel measurement and the angle between orbital horizontal level with bilateral tragus linkage（A-OT） have been done. Results In our 22 cases list,lateral and inferior orbital segment was moved to upper and inner direction with 8.1 mm in average, while zygomatic fragent was lift 9.2 mm and pushed 1.5mm in average. In average 6.5 months follow-up, good facial contour were maintained in most of our list and no obvious relapse was occurred. Conelusious Lamella osteotomy with separated segments movement was benefit to most of secondary deformities in orbito-zygoma displace.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2006年第2期103-105,共3页
Chinese Journal of Plastic Surgery
关键词
眶颧骨折
截骨术
Orbit-zygomatic fracture
Osteotomy
