联合多切口手术治疗眶-上颌-颧骨复合骨折

Application of coronal-subciliary-intraoral incision approachin the treatment of orbital-maxillary-zygomatic complex fractures

目的探讨经冠状-睑下缘-口内联合切口行眶-上颌-颧骨复合骨折坚强内固定术的临床应用价值。方法回顾性分析69例患者经冠状-睑下缘-口内联合切口行眶-上颌-颧骨复合骨折解剖复位,钛板坚强内固定。结果 69例均Ⅰ期愈合,面部畸形得到明显改善,咬合关系恢复正常,无面神经的损伤。结论冠状-睑下缘-口内联合切口具有切口隐蔽、面部瘢痕不明显、显露充分、并发症少等优点,是治疗眶-上颌-颧骨复合骨折的良好手术进路。

Objective To discuss the application of coronal - subeiliary - intraoral incision approach in the treatment of orbital - maxillary - zygomatic complex fractures. Methods Sixty - nine patients who underwent repositioning of orbital - maxillary - zygomatic （OMZ） complex fractures with approach of coronal- subciliary -intraoral incision were reviewed retrospectively. Fractures were reducted and fixed with titanium -plates. Results All cases had been restored with normal face profile and good occlusion. No facial paralysis had been found. Conclusion The coronal - subciliary - intraoral incision has the merits of hidden incision, indistinct scar, enough exposure and low complication. It is a good surgical approach for the treatment of orbital -maxillary -zygomatic （OMZ） complex fractures.