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[颧骨骨折的微型钢板内固定术——修复还是替代?]

[Mini-plate osteosynthesis in zygomatic fractures--restoration or alternative?].

作者信息

Desloovere C, Meyer-Breiting E, Häuser H

机构信息

Zentrum der Hals-Nasen-Ohren-Heilkunde der Johann-Wolfgang-Goethe-Universität Frankfurt/Main.

出版信息

Laryngol Rhinol Otol (Stuttg). 1988 Dec;67(12):634-8.

PMID:3210856
Abstract

At the University ENT Clinic Frankfurt 105 patients with zygomatic fractures were treated from 1980 until 1986: 45 were treated with a maxillary sinus stent, part of them in combination with wire osteosynthesis, miniplate osteosynthesis was performed in 30 patients, some fractures seemed stable after reposition without fixation. The zygomatic fractures are classified into 3 types requiring different surgical treatments. Comparing the long term results of these methods with the pre- and postoperative radiological and functional data, patients with type 2 and 3 fractures do better with miniplate osteosynthesis than with the other treatments. In combination with an orbital floor fracture, the degree of enophthalmus is more severe in those patients where fractures were only repositioned without fixation.

摘要

1980年至1986年期间,法兰克福大学耳鼻喉科诊所对105例颧骨骨折患者进行了治疗:45例采用上颌窦支架治疗,部分患者联合钢丝骨固定术;30例患者采用微型钢板骨固定术;部分骨折复位后未固定,看似稳定。颧骨骨折分为3种类型,需要不同的手术治疗方法。将这些方法的长期结果与术前和术后的影像学及功能数据进行比较,2型和3型骨折患者采用微型钢板骨固定术的效果优于其他治疗方法。伴有眶底骨折时,骨折仅复位未固定的患者眼球内陷程度更严重。

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