头皮冠状切口颞肌上入路治疗眶颧骨折并发症研究
Complications of supratemporalis approach with scalp coronal incision for orbital-zygomatic fracture
作者：王雅楠, 黄艳丽, 迪力努尔·迪力夏提, 刘伟龙, 李蕙, 王怡, 刘磊
Author：Yanan Wang, Yanli Huang, Dilxat Dilnur, Weilong Liu, Hui Li, Yi Wang, Lei Liu
收稿日期：2016-07-20 年卷（期）页码：2017,35(1):73-73-76
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：眶颧骨折,头皮冠状切口,颞肌上入路,面神经损伤,并发症,
Key words：orbital-zygomatic fracture,scalp coronal incision,supratemporalis approach,facial nerve injury,com-plication,
基金项目：中央高校基本科研业务费专项基金（2011SCUD-4B14）
中文摘要
目的 分析头皮冠状切口颞肌上入路治疗眶颧骨折的并发症发生情况,探讨其应用价值。方法 采用头皮冠状切口颞肌上入路方法对206例眶颧骨折病例进行手术治疗,术后定期随访,分析其治疗效果和并发症发生情况。结果 206例患者的骨折断端均复位良好,面形和功能得到明显改善;未发生面神经损伤;1例发生颞区凹陷;11例术后切口区域疼痛或感觉异常,随时间推移逐渐恢复正常;1例术后发生感染,1例发生皮下血肿,经治疗后痊愈;5例切口瘢痕较宽,3例切口附近区域内出现少量脱发,但均未影响面容。结论 头皮冠状切口颞肌上入路可有效避免损伤面神经,值得在临床推广。
英文摘要
Objective This study aimed to examine the complications of supratemporalis approach with scalp coronal incision for the treatment of orbital-zygomatic fractures. Methods A total of 206 patients with orbital-zygomatic fractures were treated with scalp coronal incision through the supratemporalis approach. The effects and complications of the treatment were analyzed. Results The degree of fracture of the 206 patients was successfully reduced. The facial morphologies and functions were improved. No facial nerve injury was observed in all of the cases. However, the following complications were noted: fossa introcession in 1 case, forehead scalp pain or paresthesia in 11 cases, incision infection in 1 case, subcutaneous hematoma in 1 case, incision scar in 5 cases, and alopecia in 3 cases. Conclusion The supratemporalis approach prevents facial nerve injury and does not increase the frequency of other complications. Therefore, this approach can be applied as a routine and safe procedure in clinical settings.
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