Balle V, Christensen P H, Greisen O, Jørgensen P S
Clin Otolaryngol Allied Sci. 1982 Dec;7(6):411-6. doi: 10.1111/j.1365-2273.1982.tb01405.x.
One hundred and five patients with zygomatic fractures are presented. The main cause of the fracture was violence, followed by traffic accidents, fall and sport. In more than 25% of the cases, the fractures were accompanied by another fracture of the facial skeleton, viz maxillary, mandibular and nasal fractures. In severe cases of traffic accidents there were associated fractures in more than half of the cases. The follow-up study showed visible asymmetry of the face in 17 patients and sensory disturbances in 37 patients. We did not find the X-ray subdivision by Knight & North useful in the evaluation of the stability of the fractures. As a method of choice in cases of dislocated zygomatic fractures, we used reposition by the method of Gillies and in cases of instability this reposition was combined with internal wiring, reconstruction of the orbital floor and antral packing. An active attitude towards reconstruction of the orbital floor is recommended.
本文报告了105例颧骨骨折患者。骨折的主要原因是暴力，其次是交通事故、跌倒和运动。超过25%的病例中，骨折伴有面部骨骼的其他骨折，即上颌骨、下颌骨和鼻骨骨折。在严重的交通事故病例中，超过一半的病例伴有相关骨折。随访研究显示，17例患者面部可见不对称，37例患者有感觉障碍。我们发现Knight & North的X线分型在评估骨折稳定性方面并无用处。对于颧弓骨折脱位的病例，我们选择Gillies法复位，对于不稳定的病例，这种复位与内固定、眶底重建和上颌窦填塞相结合。建议对眶底重建采取积极的态度。
