Zachariades N, Mezitis M, Anagnostopoulos D
General District Hospital of Attica, Kifissia, Athens, Greece.
J Oral Maxillofac Surg. 1998 Oct;56(10):1152-6; discussion 1156-7. doi: 10.1016/s0278-2391(98)90759-5.
The efficacy of the current methods for the treatment of fractures of the zygomaticomaxillary complex was evaluated.
One thousand two hundred seventy-seven patients with fracture of the zygomaticomaxillary complex and 196 patients with fractures of the zygomatic arch that were admitted between 1984 and 1995 were evaluated. One thousand one hundred fifty surgical procedures were performed, and in 401 cases, no operative treatment was considered necessary. The Gillie's approach was used in 514 cases, intraosseous wiring in 89 cases, bone plate osteosynthesis in 322 cases, Roger-Anderson pins in 180 cases, antral packing in 17 cases, and elevation with a hook in 28 cases.
The best results were achieved with the use of semirigid fixation with miniplates applied at one or more sites of the fractured complex, occasionally used in combination with other methods such as Roger-Anderson pins.
Semirigid fixation with miniplates offers the most reliable method available today for the treatment of zygomatico-orbital complex fractures and has practically replaced every other method in our institution. The increased cost and occasionally the necessity to remove the hardware are the main disadvantages of the method.
评估当前治疗颧上颌复合体骨折方法的疗效。
对1984年至1995年间收治的1277例颧上颌复合体骨折患者及196例颧弓骨折患者进行评估。共实施了1150例外科手术，401例患者被认为无需手术治疗。514例采用吉利氏入路，89例采用骨内钢丝固定，322例采用接骨板骨合成术，180例采用罗杰 - 安德森针，17例采用窦腔填塞，28例采用钩子抬起法。
在骨折复合体的一个或多个部位应用微型接骨板进行半刚性固定，偶尔与罗杰 - 安德森针等其他方法联合使用，取得了最佳效果。
微型接骨板半刚性固定是目前治疗颧眶复合体骨折最可靠的方法，在我们机构实际上已取代了其他所有方法。该方法的主要缺点是成本增加以及偶尔需要取出内固定物。
