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目的:探讨头皮冠状切口在面中部骨折切开复位内固定术中应用优点及临床效果。方法:对我院收住的38例面中部骨折的患者,单纯颧弓骨折3例,颧弓伴眼眶外侧壁及眶下壁骨折8例,颧骨颧弓复合骨折9例,颧骨伴上颌骨骨折10例,额骨及眶上壁骨折8例,均采用发际缘内头皮冠状切口,加用附加切口的5例进行切开、复位、内固定治疗。结果:38例面中部骨折的患者,术中暴露充分,术野清晰,骨折解剖复位良好;术后切口隐蔽,不影响面容,无继发畸形及功能障碍,无一例面神经损伤。结论:头皮冠状切口应用于面中部骨折切开复位内固定术中疗效满意,安全高效,不影响面容,患者乐于接受。
Objective: To explore the advantages and clinical effects of scalp coronal incision in the reduction and internal fixation of midfacial fractures. Methods: A total of 38 patients with midfacial fractures admitted to our hospital were treated with simple zygomatic arch fracture in 3 cases, zygomatic arch with orbital wall and orbital wall fractures in 8 cases, zygomatic arch zygomatic complex fracture in 9 cases, 10 cases of bone fracture, frontal and supraorbital fracture in 8 cases, all using the edge of the scalp coronal incision, plus additional incision in 5 cases of incision, reduction, internal fixation. Results: Thirty-eight patients with central midfacial fracture had adequate intraoperative exposure, a clear operative field and good anatomic reduction. The incision was concealed without affecting facial appearance, secondary deformity and dysfunction without any facial nerve injury. Conclusion: The application of scalp coronal incision in the reduction and internal fixation of open reduction and internal fixation of face is satisfactory, safe and efficient, does not affect the face, patients are willing to accept.