Hsu Shao-Yun, Shih Pin-Keng
Department of Plastic and Reconstructive Surgery, China Medical University Hospital.
China Medical University, Taichung.
Medicine (Baltimore). 2019 Jun;98(24):e15839. doi: 10.1097/MD.0000000000015839.
Few studies have reported on using craniometry for comminuted zygomaticomaxillary complex (ZMC) fracture management. We present our experiences with this procedure and a review of the related literature.From September 2011 to October 2018, 43 patients with comminuted ZMC fracture receiving open reduction internal fixation under coronal incision were enrolled. Data on gender, age, operation time, hospital stay, duration of follow-up, vertical/horizontal differences, and complications were collected. Between-group differences (C-arm imaging vs craniometry) were evaluated using nonparametric Mann-Whitney test for continuous data and chi-square test for categorical data.No significant difference were found between the groups regarding gender, age, hospital duration, follow-up duration, and postoperative complications, except for operation time. The averaged operation time was significantly shorter in the C-arm imaging group (4.217 h) than in the craniometry group (6.193 h). The C-arm imaging group had two cases with horizontal differences >3 mm and one case with vertical differences >3 mm. The craniometry group had four cases with horizontal differences >3 mm and four cases with vertical differences >3 mm. There were no significant differences between the two groups in horizontal differences and vertical differences.Craniometry may achieve the same outcomes as C-arm imaging in comminuted ZMC fracture management; however, the former requires more time than the latter.
很少有研究报道使用颅骨测量法来处理颧骨颧上颌复合体（ZMC）粉碎性骨折。我们介绍我们在该手术方面的经验并对相关文献进行综述。2011年9月至2018年10月，纳入43例接受冠状切口切开复位内固定术的ZMC粉碎性骨折患者。收集性别、年龄、手术时间、住院时间、随访时间、垂直/水平差异及并发症等数据。对于连续数据，采用非参数曼-惠特尼检验评估组间差异（C形臂成像与颅骨测量法）；对于分类数据，采用卡方检验。除手术时间外，两组在性别、年龄、住院时间、随访时间及术后并发症方面未发现显著差异。C形臂成像组的平均手术时间（4.217小时）显著短于颅骨测量法组（6.193小时）。C形臂成像组有2例水平差异>3毫米，1例垂直差异>3毫米。颅骨测量法组有4例水平差异>3毫米，4例垂直差异>3毫米。两组在水平差异和垂直差异方面无显著差异。在ZMC粉碎性骨折处理中，颅骨测量法可能与C形臂成像取得相同效果；然而，前者比后者需要更多时间。
