摘要： 目的：探讨提骨钩、小切口在颧骨复合体骨折三维复位中的临床效果。方法：32 例颧骨复合体骨折患者，经术前 X 线片或三维 CT 成像等影像学检查确诊后，手术取眉弓外、下睑结膜内及同侧上颌磨牙区前庭沟切口，配合提骨钩行三维复位后，分别用小型钛板进行颧额缝、眶下缘、颧上颌缝３点的坚强内固定。结果：所有患者切口均一期愈合，颧面部外形满意，张口度正常，无复视、眼睑外翻、面部麻木等并发症。结论：小切口配合提骨钩可减少手术损伤，并能达到骨折三维复位的目的，具有一定的临床推广价值。
关键词:
提骨钩,
小切口,
颧骨复合体,
三维复位
Abstract: Objective: To assess the clinical effect of bone hook and minimal incisions in the reduction of 3-dimensional zygomatic complex fracture. Methods: 32 cases of zygomatic complex fractures were diagnosed by radiographic examination and/or 3-dimensional CT images. Micro incision for open reduction included a lateral canthal incision, lower eyelid conjunctiva incision combined with the approach from vestibular groove of the maxillary tuberosity at the same side. The 3-dimensional reduction was carried out with bone hook. Internal fixation with micro titanium plates were applied at the sites of inferior orbital rim, frontozygomatic conjunction, and zygomaticomaxillary suture. Results: All patients showed satisfactory facial symmetry. There was no functional impairment relating to diplopia, ectropion of the eye lid, and zygomaticofacial anesthesia. Conclusion: Bone hook and micro incision in the 3-dimensional reduction of zygomatic fracture may be value in certain promotion.
Key words:
bone hook,
minimal incision,
zygomatic complex,
3-dimensional reduction
中图分类号:
冯大军，陈传俊，周健 ，陈晓阳. 小切口配合提骨钩用于颧骨复合体骨折治疗的临床总结[J]. 《口腔颌面外科杂志》, 2013, 23(1): 60-62.
FENG Da-jun1 , CHEN Chuan-jun1 , ZHOU Jian2 , CHEN Xiao-yang1. Application of Bone Hook and Micro Incisions in 3-dimensional Reduction of
Zygomatic Complex Fracture[J]. 《Journal of Oral and Maxillofacial Surgery》, 2013, 23(1): 60-62.