Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2010 Nov;24(4):389-97. doi: 10.1055/s-0030-1269768.
Zygomaticomaxillary complex (ZMC) fractures are a group of fractures that can significantly alter the structure, function, and appearance of the midface, including the globe. Like other facial fractures, the optimal management of operative ZMC fractures requires anatomic reduction of all fractures followed by rigid internal fixation. However, surgical treatment of these fractures can be quite challenging with the potential for high rates of complications. The goal of this article is to provide an overview of ZMC fractures and discuss treatment options, with an emphasis on providing surgical pearls to optimize outcomes.
颧骨复合体(ZMC)骨折是一组可显著改变面中部结构、功能和外观的骨折,包括眼球。与其他面部骨折一样,手术治疗 ZMC 骨折需要解剖复位所有骨折,然后进行坚固的内固定。然而,这些骨折的手术治疗可能具有很高的并发症发生率,极具挑战性。本文的目的是概述 ZMC 骨折,并讨论治疗选择,重点是提供手术要点以优化结果。