Wang Howard D, Dillon Jasjit
The Craniofacial Center, Seattle Children's Hospital, Seattle, Washington.
Division of Plastic and Reconstructive Surgery, University of Washington, Seattle, Washington.
Semin Plast Surg. 2021 Oct 7;35(4):256-262. doi: 10.1055/s-0041-1735812. eCollection 2021 Nov.
Zygomaticomaxillary complex fracture is one of the most commonly treated facial fractures. Accurate reduction and stable fixation of the zygoma are required to restore facial symmetry and projection and avoid functional sequalae from changes in orbital volume. Achieving optimal outcome is challenging due to the complex three-dimensional anatomy and limited visualization of all affected articulations of the zygoma. This article provides an updated overview of the evaluation and management of zygomaticomaxillary complex fractures based on available evidence and clinical experience at our center. The importance of soft tissue management is emphasized, and approaches to internal orbital reconstruction are discussed. While evidence remain limited, intraoperative imaging and navigation may prove to be useful adjuncts in the treatment of zygomaticomaxillary fractures.
颧上颌复合体骨折是最常治疗的面部骨折之一。需要准确复位和稳定固定颧骨，以恢复面部对称性和突度，并避免因眶容积改变导致的功能后遗症。由于颧骨复杂的三维解剖结构以及对所有受影响关节的可视化有限，实现最佳治疗效果具有挑战性。本文基于我们中心的现有证据和临床经验，提供了颧上颌复合体骨折评估和管理的最新概述。强调了软组织管理的重要性，并讨论了眶内重建的方法。虽然证据仍然有限，但术中成像和导航可能被证明是治疗颧上颌骨折的有用辅助手段。
