颧骨复合体骨折手术治疗的临床研究

A clinical investigation on the surgical treatment of zygomatic complex fracture

目的：观察和对比头皮冠状切口及小切口联合入路在各种颧骨复合体骨折治疗中的效果。方法：分析2002年～2005年于我院口腔颌面外科救治的62例颧骨复合体骨折病人手术入路及临床效果。结果：根据不同类型的骨折，选择不同术式和切口，术中患者使用微型钛板行坚固内固定，术后均达到面形及功能的恢复。结论：对于大部分颧骨复合体骨折可以采用小切口的单独或联合入路进行治疗，对于颧骨体颧弓粉碎性骨折及陈旧性骨折应采用头皮冠状切口加必要的辅助切口。

Objective： To observe and contrast the effects of coronal operative incision and combined approaehes in small incision in the treatment of the the fracture of zygomatic complex. Methods： The surgical approaches and clinical effects of 62 patients with the fracture of zygomatic complex, who were admitted to our hospital during 2002 - 2005, were retrospectively analysed. Results： According to various kinds of fractures, corresponding surgeon incisions were adopted, after which, the facial contour and function were rehabilitated. Conclusion： Combined or sole approach of small incision can be adopted towards the most patients with zygomatic complex fractures, while coronal incision and necessary auxiliary small incisions should be done for some patients with comminuted and obsolete fracture of zygomatic complex.