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目的:评价头皮冠状切口在颅颌面骨骨折中的优、缺点。方法:对78例采用头皮冠状切口的颅颌面骨骨折患者的病例资料进行回顾性分析。结果:78例患者头皮冠状切口均Ⅰ期愈合。术后36例暂时性额纹消失,2例永久性额纹减弱;27例切口遗留0.2～0.5 cm宽的不规则瘢痕脱发区;23例颞部出现不同程度凹陷。结论:头皮冠状切口具有隐蔽、面部不遗留瘢痕、术中暴露范围广、术野清晰的优点,但也存在暂时性额纹消失、瘢痕脱发、颞部凹陷的不足。
Objective: To evaluate the advantages and disadvantages of scalp coronal incision in craniomaxillofacial fractures. Methods: The clinical data of 78 patients with craniomaxillofacial fracture treated by scalp coronal incision were analyzed retrospectively. Results: All patients underwent scalp coronal incision healed by first intention. 36 cases of postoperative temporary frontal pattern disappeared, 2 cases of permanent frontal pattern weakened; 27 cases left 0.2 ~ 0.5 cm wide irregular scar hair loss area; 23 cases of temporal depression with varying degrees. Conclusions: The scalp coronal incision has the advantages of concealing, leaving no scar on the face, wide range of exposure and clear surgical field. However, there are also shortages of temporary forehead wrinkles, hair loss and temporal depression.