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耳颞切口联合可吸收接骨板治疗颧弓粉碎性骨折——附8例报告
引用本文:陈鹏,刘冰,张海钟,布静秋.耳颞切口联合可吸收接骨板治疗颧弓粉碎性骨折——附8例报告[J].临床口腔医学杂志,2009,25(11):674-675.
作者姓名:陈鹏  刘冰  张海钟  布静秋
作者单位:1. 解放军总医院口腔医学中心口腔颌面外科,北京,100853
2. 空军总医院口腔科,北京,100036
摘    要:目的:评价耳颞切口联合可吸收板治疗颧弓粉碎性骨折的疗效。方法:采用耳颞切口,显露复位颧弓骨折段后应用可吸收接骨板对8例单纯颧弓粉碎性骨折病例进行坚强内固定,通过面形、张口度、伤口愈合情况及X线片评价手术效果。结果:8例患者除1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,切口甲级愈合,手术效果良好。结论:以耳颞切口入路,可吸收接骨板行颧弓骨折坚强内固定,操作简便,损伤小,并发症少,效果良好,是一种较好的颧弓粉碎性骨折治疗方法。

关 键 词:颧弓粉碎性骨折  微型钛板  坚强内固定  可吸收接骨板  耳颞切口

The clinical research an the ear-temple incision and absorbable bone fixation of zygomatic arch comminuted fracture
CHEN Peng,LIU Bing,ZHANG Hai-zhong,BU Jing-qiu.The clinical research an the ear-temple incision and absorbable bone fixation of zygomatic arch comminuted fracture[J].Journal of Clinical Stomatology,2009,25(11):674-675.
Authors:CHEN Peng  LIU Bing  ZHANG Hai-zhong  BU Jing-qiu
Institution:CHEN Peng, LIU Bing, ZHA NG Hai-zhong, BU Jing-qiu. (1.Department of Oral and Maxillofacial Surgery, PLA General Hospital, Beijing 100853, China; 2.Department of Stomatology , A ir Force General Hospital of PLA , Beijing 100036, China)
Abstract:Objective: To evaluate the effectiveness of the rigid internal fixation of zygomatic arch comminuted fracture by the ear-temple incision with the absorbable bone fixation. Method: To assess the facial contour, degree of mouth opening, with the absorbable bone fixation. Result: The fractures were well reduced, the facial contour was normally recovered, 1 cases had mouth opening limited little and 1 cases had temporary facial paralysis. Conclusion: The rigid internal fixation by the ear-temple incision with the absorbable bone fixation is an effective surgical approach to treat the zygomatic arch eomminuted fracture.
Keywords:zygomatic arch eomminuted fracture  titaninm mini-plate  rigid internal fixationl absorbable bone fixation  ear-temple incision
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