摘要
报告了修复面中份骨折的一种新方法。此种骨折不适当复位常常产生难以手术矫治的后遗症,为了恢复外形和功能,应及早开放复位。详细介绍了面中份骨折的损伤原因和分类及65例面中份骨折的临床表现和诊断。应用4种手术进路:①半冠状切口或冠状切口;②口内切口;③下睑结膜进路;④Le-Fort Ⅰ型截骨。术后1～3个月拍摄 X 线片检查,全部骨折愈合良好,外部形态满意,达到了功能和外形的重建效果。这种修复方法是面中份骨折治疗的新进展。重点讨论了有关手术进路的适应证,优缺点。
A new method of repairing midface fracture is reported.The authors emphasize that midface fracture should be treated by early open reduction in order to recover good function and external contour.The paper presents the causes,the classification of injury,and the symptoms and diagnosis of midface fracture in 65 cases.Four types of operative approaches were used:①hemi-coronal or coronal incision;②intraoral incision;③transconjunctival approach;and④Le-Fort Ⅰ osteotomy.Postoperative roentgenographic examinations after 1-3 months showed bony healing of all the fractures and good ex- ternal contour as well.Both functional and cosmetic results were achieved.The indications,advantages, disadvantages of the operation and the operative approaches were discussed.
