Foley加压水囊在治疗颧弓骨折中的临床应用

The clinical application of Foley pressurized water sac in zygomatic fractures

目的探讨Foley加压水囊在颧弓骨折手术中的应用,评价并分析其临床优势。方法对37例颧弓骨折患者选择口内前庭小切口,并采用Foley加压水囊支撑填塞固定,不需额外使用钛板行坚强内固定术,之后从患者的面部对称性、开口度等方面评价此法的优缺点。结果 37例患者采用Foley加压水囊治疗颧弓骨折的术后成形效果好,面部基本对称,张口度基本正常,副反应轻微,治愈率达97.3%,且患者术后取出水囊方便,不会造成再次创伤。结论采用Foley加压水囊治疗颧弓骨折是一种新颖有效的治疗手段,具有术后效果显著、手术操作简单、患者满意度高、经济实用的特点。

Objective To investigate the application of Foley pressurized water sac in the operation of zygomatic arch fractures, and to evaluate and analyze its clinical advantages. Methods A total of 37 patients with zygomatic arch fractures were treated with a small incision in the vestibule and fixed with Foley’s pressurized water sac support. There was no need to operate fixation by additional titanium plate. The advantages and disadvantages of this method were evaluated by the patient’s facial symmetry and opening degree. Results In 37 patients, Foley pressurized water sac was used to treat the zygomatic arch fracture with good postoperative shaping effect and with basic facial symmetry, basically normal mouth opening, slight side reaction, and a cure rate of 97.3%. In addition, it was convenient for the patients to remove the water sac after surgery, and no further trauma was caused. Conclusion The treatment of zygomatic arch fracture with Foley pressurized water sac is a novel and effective treatment method. It has the characteristics of significant postoperative effects, simple operation, high patients’ satisfaction and economy and practice.