Güven Erdem, Uğurlu Alper Mete, Kuvat Samet Vasfi, Kanlıada Deniz, Emekli Ufuk
Department of Plastic, Reconstructive and Aesthetic Surgery, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2010 Nov;16(6):541-5.
Minimally invasive approaches to severe panfacial fractures are being used increasingly to reduce surgical trauma and the related complications. In this study, it was aimed to determine the ideal surgical approaches in severe panfacial fractures.
Sixteen patients with severe panfacial fractures were included in this study. Minimally invasive approaches were used for Le Fort III fracture in six patients, for Le Fort II fracture in four patients, and for bilateral maxillary and orbital floor fractures in six patients. We used subciliary, intraoral vestibular, lateral eyebrow incisions to reach orbital, maxillary, zygomaticomaxillary buttress, and nasoethmoidal fractures, respectively.
All fractures were repaired with miniplates and screws. No hematoma, wound infections or other complications were observed.
Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.
微创治疗严重面骨骨折的方法越来越多地被用于减少手术创伤及相关并发症。本研究旨在确定严重面骨骨折的理想手术入路。
本研究纳入16例严重面骨骨折患者。6例患者采用微创入路治疗Le Fort III型骨折，4例患者采用微创入路治疗Le Fort II型骨折，6例患者采用微创入路治疗双侧上颌骨和眶底骨折。我们分别采用睑缘下、口内前庭、眉外侧切口来处理眼眶、上颌骨、颧上颌支柱和鼻筛骨骨折。
所有骨折均用微型接骨板和螺钉修复。未观察到血肿、伤口感染或其他并发症。
就美学效果而言，严重面骨骨折的微创入路被认为是合适且有效的。
