多小切口联合微型钛板治疗颧骨复合体骨折31例疗效观察

目的: 观察多小切口联合微型钛板治疗颧骨复合体骨折的疗效。方法: 采用眶外侧缘、睑下缘、耳颞切口、口内前庭沟等多小切口,显露颧骨复合体骨折段后,进行复位;应用微型钛板对颧弓复合体骨折31例进行坚强内固定,通过面形、张口度、切口愈合情况及X线检查评价手术效果。结果: 31例患者中除2例术后有轻度张口受限,1例出现暂时性面瘫外,其余均开口度正常,面形对称,切口Ⅰ级愈合,手术效果良好。结论: 以多小切口联合微型钛板坚强内固定治疗颧骨复合体骨折,操作简便,损伤小,并发症少,是一种较好的颧骨复合体骨折治疗方法,符合现代外科治疗理念。

Curative effect of small incision combined with micro-titanium plate in treatment of zygomatic complex fracture:a report of 31 cases

Objective： To evaluate the curative effect of small incision combined with micro-titanium plate in treatment of zygomatic complex fracture.Methods：The zygomatic complex fracture was revealed through small incisions in the lateral margin of orbit,inferior margin of eyelid,auriculotemporal part and intraoral vestibular groove.The micro-titanium board was applied to 31 cases of zygomatic arch complex fracture for rigid internal fixation.The effects were evaluated by the facial shape,degree of mouth opening,wound healing and X-ray.Results：Except for 2 cases of mildly restricted mouth opening and 1 case of temporary facial paralysis,the rest cases obtained normal mouth opening and facial symmetry;the incisions healed well and the surgery effect was satisfactory.Conclusions：The procedure of small incision combined with micro-titanium miniplate for rigid internal fixation has the advantages of easy operation,small damage and few complications in treatment of zygomatic complex fracture,which accords with the modern concepts of surgical therapy.