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颧骨骨折治疗中的患者视角

Patient Perspective in the Management of Zygomatic Fractures.

作者信息

Padmanavam Ananth, Mishra Sumita

机构信息

Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Bharath University, Chennai, Tamil Nadu, India.

Department of Orthodontics and Dentofacial Orthopaedics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.

出版信息

Ann Maxillofac Surg. 2018 Jul-Dec;8(2):239-246. doi: 10.4103/ams.ams_85_16.

DOI:10.4103/ams.ams_85_16
PMID:30693239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6327811/
Abstract

BACKGROUND

A clinical study was undertaken on the management of zygomatic complex fractures using various surgical approaches in the Department of Oral and Maxillofacial surgery during the past 3 years.

AIMS

The aim of this study is to evaluate the versatility of various surgical approaches.

MATERIALS AND METHODS

A total of 15 cases were selected following a clinical and radiological examination of fractures of the zygomatic complex. A standard pro forma was used to record the case history and findings. These cases were treated by mini plate or micro plate osteosynthesis. Reduction techniques used were Gillie's temporal approach, Dingman's lateral eyebrow approach, upper buccal sulcus approach, and inferior orbital approach. Fixations were done either by mini plate or micro plate osteosynthesis. To compare the effectiveness of the reduction and fixation techniques the following parameters were assessed: facial symmetry-corrected/unaltered, wound healing-good/impaired, mouth opening good/restricted, diplopia-present/absent, infraorbital nerve - present/absent.

RESULTS AND CONCLUSION

Successful surgical treatment of the zygomatic complex fracture is influenced by its geometry. Whether the alignment may be successfully achieved or not by open reduction at single or multiple locations, can vary with the individual surgeon's experience.

摘要

背景

过去3年中,口腔颌面外科对颧复合体骨折采用多种手术入路进行了临床研究。

目的

本研究旨在评估各种手术入路的适用性。

材料与方法

对15例颧复合体骨折患者进行临床和影像学检查后入选。使用标准表格记录病史和检查结果。这些病例采用微型钢板或微型钛板内固定术治疗。采用的复位技术有吉利颞部入路、丁曼外侧眉弓入路、上颌颊沟入路和眶下入路。采用微型钢板或微型钛板内固定术进行固定。为比较复位和固定技术的有效性,评估了以下参数:面部对称性——改善/未改变、伤口愈合情况——良好/受损、张口情况——良好/受限、复视——存在/不存在、眶下神经——存在/不存在。

结果与结论

颧复合体骨折的成功手术治疗受其骨折形态的影响。通过单处或多处切开复位能否成功实现骨折对线,可能因外科医生个人经验而异。

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