保守治疗上颌窦前壁骨折的疗效观察

目的 :观察保守治疗治疗上颌窦骨折的疗效。方法 :将24例上颌窦骨折患者中严重移位的上颌窦前壁骨片初步复位,严密缝合关闭软组织伤口。结果:24例患者,软组织伤口均一期愈合。愈合面部外形基本满意,双侧基本对称,局部无明显凹陷。X线片显示:上颌窦前壁在6个月后恢复连续,外形接近正常侧。结论:上颌窦前壁骨折常可不予固定,仅在复位固定其他部位骨折时将内陷、错位严重的骨折片初步复位,与周围骨折断端接触,软组织严密覆盖,即可提供骨修复条件。

Clinical Observation of Conservative Treatment on Fracture of the Anterior Wall of the Maxillary Sinus

Objective: Observation the effect of conservative treatment for maxillary sinus fracture. Methods: 24 cases of patients with severe displaced fracture of maxillary sinus anterior wall of the maxillary sinus bone initial reduction, tight closure wound of soft tissue. Results: In 24 cases, soft tissue wound healing. Satisfied with the healing facial appearance, bilateral symmetry, the local has no obvious depression. X-ray showed that: the anterior wall of the maxillary sinus in the recovery after 6 months of continuous appearance received normal side. Conclusion: Fracture of the anterior wall of the maxillary sinus can often not be fixed only when the reduction and fixation of fractures of other parts of correction of seri-ous preliminary reduction of fracture, dislocation, contact with the fracture fragments around, soft knit cover provides con-ditions for bone repair.