改良头皮冠状切口在颅颌面骨折手术中的应用

发布时间：2018-03-13 02:01

本文选题：改良冠状切口　切入点：颅颌面骨折　出处：《华西口腔医学杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨一种新的改良头皮冠状切口在颅颌面骨折手术中的应用价值。方法对37例颅颌面骨折患者采用改良头皮冠状切口进行颅颌面骨折的修复重建。术后对患者面神经功能状况、耳颞区形态、面形恢复、骨折复位、术区瘢痕等方面进行评价。结果术后随访6~36个月,37例患者均未出现面神经功能损伤和耳颞区凹陷,面形恢复良好,骨折端均实现解剖复位。切口瘢痕隐蔽,1例出现增生性瘢痕。结论改良头皮冠状切口可有效降低传统冠状切口所导致的颞区凹陷及面神经颞支损伤的发生,切口更隐蔽,未增加其他并发症的发生,值得临床推广。
[Abstract]:Objective to investigate the application value of a new modified scalp coronal incision in craniofacial fracture. Methods 37 patients with craniomaxillofacial fracture were treated with modified scalp coronal incision to repair and reconstruct craniofacial fracture. Facial nerve function, Results during the follow-up period of 636 months, 37 cases of facial nerve function injury and auricular and temporal depression were not found, and the facial shape recovered well. Anatomical reduction was achieved in all fracture ends, and hypertrophic scar was found in 1 case of scar concealment. Conclusion modified coronal incision of scalp can effectively reduce the occurrence of temporal depression and injury of temporal branch of facial nerve caused by traditional coronal incision, and the incision is more concealed. No increase in the occurrence of other complications is worthy of clinical promotion.
【作者单位】：西南医科大学附属口腔医院口腔颌面外科;西南医科大学附属口腔医院口颌面修复重建和再生实验室;
【基金】：国家自然科学基金(81371125) 四川省科技厅基金(20-14JY0044) 四川省教育厅基金(10ZB030)~~
【分类号】：R782.4

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