面中部骨折手术治疗及坚固内固定技术的应用

目的 探讨面中部骨折的原因，临床特点及治疗方式的选择，方法 回顾性分析经过治疗的９８例面中部骨折病例，对其发病原因，临床表现，诊断，治疗时机及方法进行探讨，着重讨论了切开复位与坚固内固定技术的应用基础，临床效果及注意事项，结果 本组病例共９８例，男性占７８．６％，好发于２１－４０岁年龄段，伤因，车祸伤占３２．６％工伤事故的打击伤占２４．５％，跌伤占１７．３％，骨折以上颌骨为主的联合骨折为最多（７２

Surgical Reduction and Rigid Internal Fixation of Midface Fractures

Objective:To determine the cause, clinical characteristics and treatment of midface fractures.Methods: A retrospective review of 98 patient records was conducted.Data regarding age, cause of fracture, anatomic site, treatment modalities and clinical results were reviewed.Results: Of the 98 patients, 78.6% were male, with the peak incidence occuring in the age group from 21 to 40 years old. Of the fractures, 32.6% were due to traffic accidents, 24.5% to assaults, and 17.3% to accidental falls. Most patients (87.8%) were treated by open reduction surgery and rigid internal fixation. Only 12.2% of patients were treated by colsed reduction fixation. Almost all of the patients regained normal face appearance and functional occlusion.Conclusion:Surgical reduction and rigid internal fixation of midface fractures is a satisfactory method of treatment.