华西口腔医学杂志

• 内镜辅助手术专栏 • 上一篇    下一篇

内镜辅助下颧弓骨折切开复位内固定治疗的临床研究

骆琦 肖文芝 陈涌 张莉   

  1. 云南省第二人民医院口腔颌面外科,昆明 650021
  • 收稿日期:2015-10-26 修回日期:2015-12-22 出版日期:2016-04-01 发布日期:2016-04-01
  • 通讯作者: 陈涌,主任医师,学士,E-mail:1179233644@qq.com
  • 作者简介:骆琦,主治医师,学士,E-mail:chessmen@sina.com

Clinical study on endoscope-assisted repair of zygomatic arch fracture

Luo Qi, Xiao Wenzhi, Chen Yong, Zhang Li.   

  1. Dept. of Oral and Maxillofacial Surgery, The No.2 People's Hospital of Yunnan Province, Kunming 650021, China
  • Received:2015-10-26 Revised:2015-12-22 Online:2016-04-01 Published:2016-04-01
  • Contact: Chen Yong, E-mail: 1179233644@qq.com.

摘要:

目的 探讨内镜辅助下行颧弓骨折复位内固定的相关技术及临床价值。方法 选择18例患者,其中单侧颧弓骨折10例,单侧颧骨颧弓骨折8例,均在内镜辅助下经面部小切口暴露颧弓骨折断端,行断端解剖复位后,采用钛板在内镜辅助下进行颧弓骨折坚固内固定,恢复颧弓解剖形态。结果 所有病例术后双侧颧部对称,无张口、咀嚼功能障碍及明显并发症发生。面部瘢痕隐蔽,无明显瘢痕畸形。术后CT检查显示颧弓颧骨基本解剖复位,钛板固定位置良好。结论  内镜辅助下经面部小切口行颧弓骨折复位内固定治疗,手术创伤小,骨折复位效果好,并发症少,可作为部分颧弓骨折病例治疗的选择术式。

关键词: 颧弓骨折, 内镜, 内固定

Abstract:

Objective  A study was conducted to investigate the relevant applied technique and clinical value of endoscope-assisted repair of zygomatic arch fracture. Methods  A total of 10 cases of unilateral zygomatic arch fracture and 8 cases of unilateral zygomatic fracture were included. Reduction and fixation of the zygomatic arch in all cases were performed via a small face incision by an endoscope. Endoscope-assisted repair allowed exposure of zygomatic arch fracture and ended the anatomy of the reset. Zygomatic arch was stabilized with titanium plates. Results  Symmetric malar was achieved in all cases after operation. Patients did not show difficulty in opening the mouth. No chewing problems or severe complications were evident. This method had the advantage of hidden incision, and it did not leave scars on the face. Postoperative CT examination showed excellent reduction of zygomatic arch fracture and good fixed position of titanium plate. Conclusion  Endoscope-assisted repair of zygomatic arch fracture via a small face incision can be an alternative operation for zygomatic arch fracture. Patients are less traumatized. There are fewer complications. A good reduction of fracture is achieved.

Key words: zygomatic arch fracture, endoscope, internal fixation