头皮冠状切口在面中部骨折治疗中的应用

摘要

Objective To observe the effect of coronal operative incision on frature of central face. Methods Coronaloperative incisions were applicated on 45 cases of fracture of central face. Results 45 patients were healed wellinsions,no hematoma and infection symptoms.Follow-up of 3 ～6months,facial deformity collapses of all patients wereobviously improved,silent functions were normal,diplopia symptoms disappeared,incisions of the scaple and demodecticblepharitis were concealmented and scars were not obvious.Occlusals of 3 cases were bad,the hair of 5 cases in thesurgical scalp was sparsed and 4 cases under the orbit area were numbness. Conclusion Coronal operative incision isconcealmented,scars are not obvious,face type recovered satisfactorily,hairdressing effect is good,so the clinicalapplication is worth.%目的:观察头皮冠状切口在面中部骨折治疗中的疗效.方法:采用头皮冠状切口治疗45例面中部骨折患者.结果:45例患者切口均Ⅰ期愈合,无血肿形成和感染症状.随访3～6个月,所有患者面部塌陷畸形明显改善,张闭口功能正常,复视症状消失,头皮及下睑缘切口隐蔽,瘢痕不明显.3例咬合关系不良,5例头皮切口处毛发稀疏,4例眶下区有麻木感.结论:头皮冠状切口治疗面中部骨折,切口部位隐蔽,瘢痕不明显,面型恢复满意,美容效果好,值得在临床上推广应用.