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经鼻克氏针固定颧骨骨折

The fixation of malar fractures with the transnasal Kirschner wire.

作者信息

Abemayor E, Zemplenyi J, Mannai C, Webb D J, Canalis R F

机构信息

Division of Head and Neck Surgery, Harbor-UCLA Medical Center, Torrance 90509.

出版信息

J Otolaryngol. 1988 Jun;17(4):179-82.

PMID:3398107
Abstract

Our experience with a rapid and reliable method for the repair of selected unstable malar fractures using external pin fixation is reported. Following reduction through a Gillies temporal incision, a Kirschner wire is introduced on the contralateral side, advanced through the nasal vault and septum and the reduced malar bone is engaged. This method of immobilization can be used in isolated malar fractures or in conjunction with the repair of other facial injuries. In 38 patients where this procedure was utilized, there was low morbidity as well as excellent cosmetic and functional results. The advantages of this technique as well as a comparison with other available methods of malar fixation are discussed.

摘要

我们报告了一种使用外固定针修复特定不稳定颧骨骨折的快速可靠方法的经验。通过吉利斯颞部切口进行复位后,在对侧插入一根克氏针,穿过鼻背和鼻中隔,与复位后的颧骨接合。这种固定方法可用于孤立的颧骨骨折,或与其他面部损伤的修复联合使用。在38例采用该手术的患者中,发病率低,美容和功能效果良好。讨论了该技术的优点以及与其他可用颧骨固定方法的比较。

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