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目的探讨面中部骨折临床特点及治疗方法,进一步提高面中部骨折的治疗水平。方法面中部骨折62例,术前均行上下颌带钩牙弓夹板固定,分别采用冠状切口、口内前庭沟切口和睑缘内眦切口,术中牵引复位恢复咬合关系,术后3d行橡皮圈颌间牵引,1周后拆除颌间牵引。结果咬合关系恢复正常57例;轻度咬合错位5例,经延长颌间牵引2～3周后基本恢复正常,3个月后复查X线片示骨折愈合良好。结论钛板坚强内固定加颌间牵引、结扎治疗面中骨折疗效良好。
Objective To investigate the clinical features and treatment of midfacial fractures to further improve the treatment of midfacial fractures. Methods Sixty-two patients with central facet fractures were treated with maxillary and mandibular dental arch splints before and after operation. Coronal incision, vestibular ditch incision and incision of palpebral margin were performed respectively. Intermaxillary traction, one week after removal of intermaxillary traction. Results The occlusal relationship returned to normal in 57 cases; mild occlusion dislocation in 5 cases, extended by intermaxillary traction 2 to 3 weeks after the basic return to normal, 3 months after the review X-ray showed fracture healing well. Conclusion Titanium plate with strong internal fixation plus intermaxillary traction, ligation in the treatment of facial fractures with good effect.