冠状切口在全面部骨折手术中的应用体会APPLICATIONOFSCALP.PDFVIP

内蒙古医科大学学报摇 2013年2月摇 第35卷摇 第1期 ·1· ·论摇 摇 著 · 冠状切口在全面部骨折手术中的应用体会 达林泰,摇 乌兰其其格,摇 苏尼特,摇 德乐黑巴特尔,摇 包晶晶,摇 赵摇 诚* (内蒙古医科大学附属医院 口腔科,内蒙古 呼和浩特010050) 摇 摇 摘摇 要:目的:探讨头皮冠状切口在全面部骨折手术治疗中的临床应用优、缺点。 方法:对头皮冠状切口和 口内切口联合入路进行手术治疗的全面部骨折病人6例进行回顾性研究,探讨头皮冠状切口的优、缺点。 结果: 全病例均达到骨折解剖复位并咬合关系恢复良好,外伤性牙、颌、面畸形得到了良好的效果。 手术视野显露充 分,术后平均随访19mo,颜面对称性良好、面高比例及面凸度协调、张口度正常、咬合关系良好、未出现面神经损 伤症状、未发生额部皮肤感觉异常以及功能障碍、切开线无毛发脱落、全病例均一期愈合,未发生感染及内固定 钛板的排斥反应。 结论:头皮冠状切口能够充分暴露手术视野,并发症少,符合美容医学和功能医学的原则,是 全面部骨折理想的手术入路。 关键词:全面部骨折;头皮冠状切口;手术入路 中图分类号:R782摇 摇 摇 摇 摇 文献标识码:A摇 摇 摇 摇 摇 文章编号:2095-512X(2013)01-0001-06 APPLICATION OF SCALP CORONAL INCISION APPROACH IN SURGICAL TREATMENT OF PANFACIAL FRACTURES Dalintai,摇 Wulanqiqige,摇 Sunite,摇 et al. (Department of Stomatology,Affiliated Hospital of InnerMongoliaMedical University,Hohhot010050 China) Abstract:Objective:To discuss the advantages and disadvantages of scalp coronal incision in treatment of panfacial fractures. Methods:The clinical data of 6 panfacial fracture patients were investigatedandanalyzedretrospectively,whichappliedsurgicaltreatmentwithscalpcoronalincisionin combination withintraoralincisionapproaches.Results:Goodclinicalresultsweregainedinallsurgical patients through the scalp coronal incision approach.Postoperative recovery was good and no occlusal disorder wasfound.After 19-month medical follow-up,all patients were satisfied with the function of panfacial bone.There was no nerve damage symptom,infection,rejection of titanium plate,hair loss of incision lines,scalp numbness and paraesthesia. Conclusion:In accord with principles of cosmetic surgery aswell asfunctional surgery,scalp coronal incision approach,which resultsfewer postoperative complications,can be fully exposed in surgery as the ideal sur