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目的:探讨经冠状-睑下缘-口内联合切口行眶-上颌-颧骨复合骨折坚强内固定术的临床应用价值。方法:回顾性分析69例患者经冠状-睑下缘-口内联合切口行眶-上颌-颧骨复合骨折解剖复位,钛板坚强内固定。结果:69例均一期愈合,68例治疗效果优良,1例治疗效果欠佳;2例轻度睑外翻,两周后恢复正常,无额纹变浅、面神经损伤等其他并发症。结论:冠状-睑下缘-口内联合切口具有切口隐蔽、面部疤痕不明显、显露充分、并发症少等优点,是治疗眶-上颌-颧骨复合骨折的良好手术进路。
Objective: To investigate the clinical value of intra-orbital-maxillary-zygomatic composite fracture with strong internal fixation via the coronal-epicondyel margin-intraoral incision. Methods: Totally 69 patients underwent anatomical reduction of the orbital - maxillary - zygomatic composite fracture through the coronal - eyelid margin - intraoral incision. The titanium plate was strongly internal fixation. Results: All the 69 cases were healed in one time. The curative effect of 68 cases was excellent, and the curative effect was poor in 1 case. Two cases of mild ectropionuria returned to normal after two weeks, with no complications of facial degeneration and facial nerve injury. CONCLUSION: Coronal - eyelid margin - intraoral combined incision with hidden incision, facial scar is not obvious, fully exposed, fewer complications, is the treatment of orbital - maxillary - zygomatic composite fracture of a good surgical approach.