Yanan Wang, Yanli Huang, Dilxat Dilnur, Weilong Liu, Hui Li, Yi Wang, Lei Liu
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;Dept. of Stomatology, The Third People's Hospital of Shizuishan, Shizuishan 753400, China.
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;The Third Affiliated Hospital, Xinxiang Medical College, Xinxiang 453000, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Feb 1;35(1):73-76. doi: 10.7518/hxkq.2017.01.011.
This study aimed to examine the complications of supratemporalis approach with scalp coronal incision for the treatment of orbital-zygomatic fractures.
A total of 206 patients with orbital-zygomatic fractures were treated with scalp coronal incision through the supratemporalis approach. The effects and complications of the treatment were analyzed.
The degree of fracture of the 206 patients was successfully reduced. The facial morphologies and functions were improved. No facial nerve injury was observed in all of the cases. However, the following complications were noted: fossa introcession in 1 case, forehead scalp pain or paresthesia in 11 cases, incision infection in 1 case, subcutaneous hematoma in 1 case, incision scar in 5 cases, and alopecia in 3 cases.
CONCLUSIONS: The supratemporalis approach prevents facial nerve injury and does not increase the frequency of other complications. Therefore, this approach can be applied as a routine and safe procedure in clinical settings. .
本研究旨在探讨经颞肌上入路联合头皮冠状切口治疗眶颧骨折的并发症。
对206例眶颧骨折患者采用经颞肌上入路联合头皮冠状切口进行治疗。分析治疗效果及并发症。
206例患者骨折程度均成功复位，面部形态及功能均得到改善。所有病例均未观察到面神经损伤。然而，出现了以下并发症：1例颞窝凹陷，11例额部头皮疼痛或感觉异常，1例切口感染，1例皮下血肿，5例切口瘢痕，3例脱发。
颞肌上入路可预防面神经损伤，且不会增加其他并发症的发生率。因此，该入路可作为临床常规安全手术应用。
