华西口腔医学杂志

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颧上颌复合体骨折中眶下神经损伤的研究现状

苏佳楠 徐兵   

  1. 上海交通大学医学院附属第九人民医院口腔颅颌面科;上海市口腔医学重点实验室,上海 200011
  • 收稿日期:2016-02-16 修回日期:2016-06-25 出版日期:2016-10-01 发布日期:2016-10-01
  • 通讯作者: 徐兵,主任医师,硕士,E-mail:bingxu568@hotmail.com
  • 作者简介:苏佳楠,硕士,E-mail:laodasjn@aliyun.com

Zygomaticomaxillary complex fractures with infraorbital nerve damag

Su Jianan, Xu Bing.   

  1. Dept. of Oral and Craniomaxillofacial Science, The Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University; Shanghai Key Laboratory of Stomatology, Shanghai 200011, China
  • Received:2016-02-16 Revised:2016-06-25 Online:2016-10-01 Published:2016-10-01
  • Contact: Xu Bing, E-mail: bingxu568@hotmail.com.

摘要:

颧上颌复合体(ZMC)骨折是颌面部最常见的骨折类型之一,除了面部凹陷、复视等临床症状外,还常常因损伤邻近的眶下神经导致患侧下睑、颧面部、鼻、上唇皮肤及黏膜的感觉异常。本文对眶下神经损伤的解剖基础、ZMC骨折中眶下神经损伤的诊断和评估、治疗及预后进行综述。

关键词: 颧上颌复合体骨折, 眶下神经, 两点辨别觉, 神经损伤

Abstract:

Zygomaticomaxillary complex (ZMC) fracture is a common type of maxillofacial fracture. In addition to facial depression and diplopia, paresthesia of the lower eyelid, malar regions, nose skin, upper lip skin, and mucous membranes occurs because of infraorbital nerve injury. This article reviewed the anatomy, diagnosis, assessment, treatment, and prognosis of ZMC fracture-related infraorbital nerve injury.

Key words: zygomaticomaxillary complex fracture, infraorbital nerve, two-point discrimination, nerve damage