小切口结合口内切口治疗颧骨骨折14列临床研究

摘要

Cheekbones is one of the most important part in the face. Located lateralin the face. And it is vulnerable to external fracture. Fracture of zygomatic bonewill lead to the collapse of the facial lateral side,and the displacement of bone fragment. Thus,coronoid process will be oppressed,leading to disorder of open mouth and the eyes. Zygomatic complex fracture is in the third place of the face of jaw fracture,after the he nasal bone fracture. According to the 14 cases zygomatic fracture patients that treated by our hospital,adopting the method of intraoral incision with prettified incision infacial beauty is a good way to cure fracture of zygomatic arch. In that way,reduction will be open openly. And the zygoma, Junction of the exognathion and theouter orbital are well exposed. Postoperative,operation scar is petty with good recovery and no facial nerve damage. Zygoma shape and the patient’s open and close of the mouth are also recover well.%颧骨是面部最突出的部位之一，位于面侧方，易受外力发生骨折。颧弓骨折，会导致面侧方塌陷畸形或增宽，骨折片向下移位，压迫冠突导致张口受限和眼部功能障碍。颧骨复合体骨折，在颌面部骨折折构成比仅次于鼻骨骨折及眶骨骨折占第3位。总结我科自2011年1月～2012年12月收治手术的14例颧骨骨折病人，采用口内切口结合面部美容小切口，可以在直视下开放复位，较好的暴露颧骨，上颌骨连接处及眶外、眶下区骨折，内固定后恢复良好，手术瘢痕小，面神经无损伤，患者外形及张闭口恢复较好。