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颧骨复合体骨折的临床分析

Clinical analysis of zygomaticomaxillary complex
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摘要 目的:分析颧骨复合体骨折临床特征,以提高其诊治水平。方法:回顾分析2001~2005年收治的20例颧骨复合体骨折病历资料。男16例,女4例,年龄20~50岁。结果:手术采用头皮冠状切口入路15例,头皮冠状切口加口内切口入路4例,1例另加睑下缘切口,术后1、2、6月追踪观察面部外形,开口度及咬合关系恢复情况良好。结论:三维CT重建是颧骨复合体骨折最佳检查方法,头皮冠状切口头皮是颧骨复合体骨折复位理想的手术方式。 Objective:To improve the diagnosis and treatment of zygomaticomaxillary complex (ZMC)fracture by analysed its clinical features. Method: 20 patients were rewiewed retrospectively from 2001 to 2005. Result.. 16 cases were male and 4 cases were female .The age was 20-50 years old.Multiple surgical approaches to the ZMC are discussed. including 15 cases of coronal inci:sion 4 cases of coronal and sublabial incision and 1 case of coronal,sublabial and subciliary incision.The results of facial profile, opening width and occlusion were satisfying after 1,2 and 6 months of operations.Conclusion:Maxiuofacial three-dimensional CT is the best examination methou for ZMC fracture .Coronal approach is an operation method satistactory outcome for ZMC fracture.
出处 《临床口腔医学杂志》 2007年第6期367-368,共2页 Journal of Clinical Stomatology
关键词 颧骨复合体 骨折 头皮冠状切口 zygomaticomaxillary complex fracture coronal approach
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  • 1丘蔚六.口腔颌面外科学[M].第5版.北京:人民卫生出版社,2003:158
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  • 3Zachariades N,Mezitis M,Anagnostopoulos D.Changing trends in the treatment of zygomaticomaxillary complex fractures:a 12-year evaluation of methods used[J].Oral Maxillofac Surg,1998,56 (10):1152-7.
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