| 颧骨复合体骨折手术治疗临床研究 |
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| 引用本文： | 张来健,徐伟,王浩,陈志,蒋蕾,郑义诚. 颧骨复合体骨折手术治疗临床研究[J]. 口腔医学, 2011, 31(10): 596-599 |
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| 作者姓名： | 张来健 徐伟 王浩 陈志 蒋蕾 郑义诚 |
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| 作者单位： | 连云港市第一人民医院口腔颌面外科,连云港,222002 |
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| 摘 要： | [摘要] 目的 探讨颧骨复合体骨折治疗的手术方式,切口选择、固定部位、固定方式与骨折类型的关系。方法 58例颧骨复合体骨折患者分别采用口内前庭沟切口+头皮冠状切口+睫毛下切口、头皮冠状切口+口内前庭沟切口、口内前庭沟切口+原始创口入路、口内前庭沟切口+眶周小切口、单纯前庭沟切口和颞部切口进行手术复位,复位后采用微型钛板、钛钉行骨折固定,单纯涉及颧弓的粉碎型不稳定骨折采用口内切口复位+个性化外固定模板辅助固定。结果 58例患者过3～6个月的随访,外形满意度95%,无开口受限,无遗留上唇麻木,CT片示骨折对位线良好。结论 颧骨复合体骨折的手术方法选择应考虑骨折类型、术者对各种术式适应证的理解、患者的偏好,做好术前与患者充分沟通,在功能和外形双标准的前提下,个性化治疗方案应是最终的目标。
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| 关 键 词： | [关键词] 颧骨复合体 骨折 手术 |
Clinical analysis of operations on zygomatic complex fractures |
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| ZHANG Lai-jian,XU Wei,WANG Hao,CHEN Zhi,JIANG Lei,ZHENG Yi-cheng. Clinical analysis of operations on zygomatic complex fractures[J]. Stomatology, 2011, 31(10): 596-599 |
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| Authors: | ZHANG Lai-jian XU Wei WANG Hao CHEN Zhi JIANG Lei ZHENG Yi-cheng |
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| Affiliation: | .(Department of Oral and Maxillofacial Surgery,The First People′s Hospital of Lian yungang City,Lianyungang 222002,China) |
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| Abstract: | Objective To explore the operation method,incision selection,fixed position,fixed mode and fracture types of zygomatic complex fractures.Methods A retrospective review of 58 patients records was conducted.Data regarding surgical methods,imaging,facial material and clinical results were reviewed.Results 8 cases of the 58 patients were type A1,38 cases were type B and 12 cases were type C.16 cases of the 58 patients were used oral vestibule incision+scalp coronal incision+eyelash incision on,14 cases were use... |
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| Keywords: | zygomatic complex fracture operation |
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