冠状切口在面中部复杂性骨折中的应用

目的:总结经冠状切口行面中部复杂性骨折复位、坚强内固定术的临床应用及注意事项。方法:本组50例患者采用头皮冠状切口行复杂性面中部骨折解剖复位,钛合金接骨板坚强内固定。结果:除4例出现暂时性神经损伤症状,2例出现头皮麻木和感觉异常,1例感染外,其余的病例均一期愈合,面部畸形得到明显改善,咬合关系恢复正常,X线片显示骨折处对位良好。结论:采用头皮冠状切口的坚强内固定技术,可在直视下开放复位,较好地暴露颧骨、颧弓、上颌骨连接处骨折,使面中部解剖结构得以重建,提高了骨折固定的稳定性,取得了良好的疗效。

Coronal Surgical Incision for Reconstruction of Midfacial Fractures

Objective： To investigate the efficacy of treating complex midfacial fractures with coronal incision. Methods： 50 cases of complex midfacial fractures were reducted and fixed by titanium plate with approach of coronal incision. Results： All cases had been restored with normal face profile and good occlusion relationship, fractures showed good contraposition on X--rays. There were scalp numbness and paraesthesia in 2 cases, temporal injury of temporal branch of the facial nerves in 4 cases, infection in 1 case. Conclusion： This surgical approach of coronal incision has advantages of clear operative field, reliable effects and concealed wound scars, with better esthetic and functional outcomes.