改良头皮冠状切口在颅颌面骨折手术中的应用
Application of modified coronal approach in treatment of craniomaxillofacial fractures
作者：王雷, 赵文杰, 孙黎波, 周航宇, 吴双江, 肖金刚
Author：Lei Wang, Wenjie Zhao, Libo Sun, Hangyu Zhou, Shuangjiang Wu, Jingang Xiao
收稿日期：2016-08-16 年卷（期）页码：2017,35(2):167-167-170
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：改良冠状切口,颅颌面骨折,手术路径,面神经,颞区,
Key words：modified coronal approach,craniomaxillofacial fracture,operation route,facial nerve,temporal region,
基金项目：国家自然科学基金（81371125）;四川省科技厅基金（20-14JY0044）;四川省教育厅基金（10ZB030）
中文摘要
目的 探讨一种新的改良头皮冠状切口在颅颌面骨折手术中的应用价值。方法 对37例颅颌面骨折患者采用改良头皮冠状切口进行颅颌面骨折的修复重建。术后对患者面神经功能状况、耳颞区形态、面形恢复、骨折复位、术区瘢痕等方面进行评价。结果 术后随访6~36个月,37例患者均未出现面神经功能损伤和耳颞区凹陷,面形恢复良好,骨折端均实现解剖复位。切口瘢痕隐蔽,1例出现增生性瘢痕。结论 改良头皮冠状切口可有效降低传统冠状切口所导致的颞区凹陷及面神经颞支损伤的发生,切口更隐蔽,未增加其他并发症的发生,值得临床推广。
英文摘要
ObjectiveThis study aimed to investigate clinical efficacy of a modified coronal approach in treatment of craniomaxillofacial fractures.MethodsThirty-seven cases of craniomaxillofacial fractures underwent open reduction and rigid internal fixation through modified coronal approach. Clinical follow-up visits were conducted to evaluate facial nerve functional status, temporal shape, appearance restoration, and reduction of fracture and surgical area scars.ResultsDuring follow-up period of 6-36 months, appearance and function of all 37 patients recovered well without facial nerve injury and temporal depression deformity. All cases presented hidden scars, except for one case with hypertrophic scar.ConclusionApplying modified coronal approach to craniomaxillofacial surgery effectively reduces incidence of temporal depression and facial nerve injury compared with traditional approach. The modified coronal approach produced more subtle scars compared with traditional approach and should be applied to treatment of craniomaxillofacial fractures.
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