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目的探讨及评价采用头皮冠状切口整复面中部复杂骨折的适应症及治疗方法。方法14例面中部复杂骨折的病人,采用头皮冠状切口直视下复位,微型钛板坚固内固定,术后1个月及6个月复查,评价其临床效果。结果本组14例均Ⅰ期愈合,其中10例在前庭沟行附加切口,面部外形满意。咬合关系和张口度正常,仅有一例出现面神经额支损伤。结论头皮冠状切口用于治疗面中部复杂骨折有其独特优点,疗效可靠,其并发症主要是面神经额支的损伤。
Objective To investigate and evaluate the indications and treatment of complex fractures in the middle of the scalp coronal incision. Methods Fourteen patients with complex fractures in the middle of the face underwent scalp coronal incision under direct vision reduction and miniature titanium plate fixation. The clinical effect was evaluated at 1 month and 6 months after operation. Results All the 14 cases were cured in the first stage, of which 10 cases had an additional incision in the frontal ditch and the facial appearance was satisfactory. Occlusal relationship and normal mouth opening, only one case of facial nerve injury occurred. Conclusion The scalp coronal incision for the treatment of complex central face has its unique advantages, reliable effect, the main complications of facial nerve branch injury.