一种新的冠状头皮技术治疗颅面骨折：颞浅动脉入路。
A new coronal scalp technique to treat craniofacial fracture: the supratemporalis approach.
机构信息
Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Feb;113(2):177-82. doi: 10.1016/j.tripleo.2011.01.037. Epub 2011 Apr 20.
OBJECTIVE
A new coronal scalp approach, denoted as the supratemporalis approach, was designed to address facial nerve injury induced by the traditional coronal scalp approach.
STUDY DESIGN
First, the complication rate among 38 cases operated upon with the traditional coronal scalp approach was analyzed retrospectively. Then 40 cases were operated upon using the supratemporalis approach. The rate of complications was recorded. The follow-up periods were 3-17 months.
RESULTS
The facial contours and functions recovered well after the operation in all 78 cases. Seven cases of facial nerve injury, 1 of which was permanent, were observed in the group treated with the traditional coronal scalp approach. No case of facial nerve injury was observed in the group treated with the supratemporalis approach.
CONCLUSIONS
The supratemporalis approach prevented facial nerve injury and did not increase the frequency of other complications. It is therefore worthy of application in the clinical setting.
目的
一种新的冠状头皮入路，称为颞浅动脉入路，旨在解决传统冠状头皮入路引起的面神经损伤。
研究设计
首先，回顾性分析了 38 例行传统冠状头皮入路手术的病例的并发症发生率。然后，40 例行颞浅动脉入路手术。记录并发症发生率。随访时间为 3-17 个月。
结果
78 例患者术后面部轮廓和功能恢复良好。传统冠状头皮入路组发生面神经损伤 7 例，其中 1 例为永久性损伤。颞浅动脉入路组未观察到面神经损伤病例。
结论
颞浅动脉入路可预防面神经损伤，且不会增加其他并发症的发生频率。因此，在临床应用中值得推广。
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