Zhou Wen-qing, Wu Yan-ping, Chen Xue-jun, Kang Chun-hui, Guo Hai-bo, Zhou Yong-qiang
Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Nantong City, Jiangsu Province, China.
Shanghai Kou Qiang Yi Xue. 2009 Oct;18(5):480-2.
To explore the application of lateral brow incision by the guide of sphenozygomatic suture for zygomatic complex fracture.
Lateral brow incision combined with intraoral vestibule incision and below cilia incision were applied in 26 patients who had Zingg's type B and C zygomatic complex fracture,through which the fracture lines around the forehead and zygomatic suture, sphenozygomatic suture, suborbital edge, zygomatic maxillary suture, zygomatic temporal suture, zygoma- alveolar column were exposed. After accurate reduction by the guide of sphenozygomatic suture, rigid fixation by titanium plates was performed. The patients were followed up for 3-24 months.
Twenty-three patients acquired satisfactory outcome with ideal facial figure,function and minimal scar and 3 patients of type C developed mild asymmetric facial contour.
The application of lateral brow incision by the guide of sphenozygomatic suture and rigid fixation for zygomatic complex fracture approach leaves minimal scar and injury to the facial nerve,with better esthetic and functional outcome.
探讨在蝶颧缝引导下眉外侧切口在颧骨复合体骨折中的应用。
对26例Zingg B型和C型颧骨复合体骨折患者采用眉外侧切口联合口内前庭切口及睫毛下切口，暴露额部及颧缝、蝶颧缝、眶下缘、颧上颌缝、颧颞缝、颧骨牙槽柱周围的骨折线。在蝶颧缝引导下准确复位后，用钛板进行坚固内固定。对患者进行3至24个月的随访。
23例患者获得满意效果，面部外形、功能理想，瘢痕微小；3例C型患者出现轻度面部轮廓不对称。
在蝶颧缝引导下眉外侧切口联合坚固内固定治疗颧骨复合体骨折，瘢痕小，对面神经损伤小，美观及功能效果良好。
