内固定治疗颧骨复合体骨折24例

目的: 评价内固定治疗颧骨复合体骨折的临床效果。方法: 对24例颧骨复合体骨折患者通过头皮冠状切口、眶周小切口并联合口内上颌前庭沟切口进路,行骨折复位后,对骨折处颧额缝、眶下缘、颧上颌缝行微型钛板坚强内固定。结果: 24例面部外形均明显改善,张口度恢复正常,8例有眼功能障碍者均恢复。结论: 三维内固定治疗颧骨体骨折尤其复杂性骨折、粉碎性骨折固位精确、牢固,是一种很好的治疗方法,值得推广。

Treatment of zygomatic complex fracture with internal fixation

Objective:To study the effect of repositioning zygomatic complex fractures with internal fixation.Methods:Twenty-four patients with zygomatic complex fractures were approached with coronal incision,marginal incision of the eyelid and oral vestibular mucous incision to expose and reposition the dislocated zygomatic complex,and fixed with micro titanium plates at interior orbital rim,at zygo-maxillary suture and zygo-frontal suture,which was a 3-Dimensional fixation to offer the steady of the fractures.Results:Twenty-four patients recovered well from their facial deformities and ophthalmic dysfunctions.No obvious dislocation occurred again.Conclusions:It is an ideal method to treat zygomatic complex fractures with internal fixaton,especially the old fractures and complex fractures.