中国耳鼻咽喉头颈外科2018，Vol.25Issue(1)：38-40,3.DOI:10.16066/j.1672-7002.2018.01.009
改良头皮冠状切口在治疗颧骨复杂性骨折中的临床应用
Clinical application of the modified scalp coronal incision in the treatment of zygomatic complex fractures
李树华 1关建 2张玉君 2朱华明 2刘素茹 2易红良 2邓伟1
作者信息
- 1. 绵阳市中心医院耳鼻咽喉科,四川 绵阳 621000
- 2. 上海交通大学附属第六人民医院耳鼻咽喉头颈外科,上海交通大学耳鼻咽喉科研究所,上海 200233
- 折叠
摘要
Abstract
OBJECTIVE To explore the application of the modified scalp coronal incision in the treatment of zygomatic and zygomatic arch fracture, and analyze its prognosis. METHODS A retrospective analysis of 236 cases with zygomatic and zygomatic arch fracture from 2008 to 2016 was performed. They were treated with zygomatic and zygomatic arch fracture open reduction and firm fixation by the modified scalp coronal incision and postoperative mouse rehabilitation. After 3-6 months, the infection of incision, facial paralysis, occlusal, degree of mouth opening, facial deformity and subjective satisfaction index were followed up. The prognosis and recovery were evaluated. RESULTS 1. All of the patients had no postoperative incision infection, subcutaneous hematoma, temporal region sag, bald, and permanent facial paralysis. They all got satisfied face recovery. 2. All patients with occlusal disorders and limited mouth opening obtained functional occlusal and ideal degrees of mouth opening. Satisfaction was 97％. CONCLUSION The modified coronal scalp incision in the reconstruction of 3 d structure of zygomatic and zygomatic arch, has the advantages of a clear operation field and accurateresetting, good restoration of face, concealed scar. It contributes to the protection of the facial nerve and vascular structureand reduces the incidence of surgical complications.关键词
骨折/颧骨/外科手术/改良头皮冠状切口Key words
Fracture/ Bone/Zygoma/Surgical Procedures/ Operative/improved scalp coronal incision引用本文复制引用
李树华,关建,张玉君,朱华明,刘素茹,易红良,邓伟..改良头皮冠状切口在治疗颧骨复杂性骨折中的临床应用[J].中国耳鼻咽喉头颈外科,2018,25(1):38-40,3.
