合并上颌骨骨折的复杂鼻骨骨折诊治体会

Diagnosis and treatment of the complex fracture of the maxillary and nasal bone

目的:探讨鼻内镜联合局部小切口手术治疗合并上颌骨骨折的复杂鼻骨骨折的疗效。方法:对22例合并上颌骨骨折的复杂鼻骨骨折的患者进行手术治疗并对术后疗效进行分析总结。结果:22例患者术后愈合良好。结论:术前采用CT平扫加三维重建明确骨折部位,以确定诊断很重要。鼻面部各类型骨折采用相应的切口,联合鼻内镜辅助,充分暴露手术视野为手术成功奠定了基础,良好的坚固内固定技术是手术成功的保障。

Objective： To explore the effect of surgical treatment for compond fracture of nasal bone and frontal process of maxilla with endoscopy and small local incision.Method：Twenty-two cases with compond fracture of nasal bone and frontal process of maxilla were treated with surgery,and the postoperative effect were analysed.Result：Twenty-two cases healed well.Conclusion： CT scan and 3D reconstruction before opration can help the diagnosis.Corresponding incision and assisted endoscopy can make good surgical field and achieve surgical success.Rigid internal fixation is also the key for surgical success.