双重睑切口在颧额缝骨折内固定入路的临床应用

目的　探讨双重睑切口在颧额缝骨折内固定入路的临床应用效果。方法　选取12例颧骨复合体骨折、骨折段移位明显、伴有面部塌陷或张口受限等功能障碍患者，行局部小切口切开复位内固定术，其中颧额缝采用双重睑切口入路，术后评价骨折复位固定、功能和畸形改善、术后瘢痕等情况。结果　所有骨折复位固定方便，患者颧面部外形满意，功能改善明显，术后瘢痕隐蔽。结论　双重睑切口作为颧骨复合体骨折复位内固定其中的手术入路，既能达到骨折复位，又能减少创伤，具有一定的临床使用价值。

Clinical application of double eyelid incision in internal fixation of zygomatic-frontal fracture

Objective This study aimed to investigate the clinical application effect of double eyelid incision in the internal fixation of suturae zygomatico-frontalis fracture. Methods A total of 12 patients with zygomatic complex fracture and evident fracture segment displacement, accompanied by facial collapse or mouth opening limitation and other functional disorders, were selected for open reduction and internal fixation. The suturae zygomatico-frontalis fracture was fixed using a double eyelid approach. Postoperative evaluation was performed on fracture reduction and fixation to evaluate the improvement of function and deformity, postoperative scar, and other conditions. Results All fractures had convenient reduction and fixation, and all patients had satisfactory facial appearance, evident functional improvement, and hidden postoperative scar. Conclusion As a surgical approach to reduce and internally fix zygomatic complex fracture, double eyelid incision can reduce not only the fracture, but also the trauma, thereby indicating its certain clinical value.