Clinical study on operation treatment of zygomatic maxillary fracture
Abstract：Objective To investigate the clinical treatment efficacy and the complications of the semi-coronal incision,lower eyelid incision and oral vestibular groove incision for zygomatic maxillary fracture.Methods The semi coronal incision,the lower edge of eyelid incision and oral vestibular groove incision were adopted,76 patients with maxillary zygomatic fracture were corrected by loosened,reposition and fixation with mini titanium plate un-der direct vision.The clinical effects and complications were analyzed retrospectively.Results All cases healed pri-marily,and all patients were satisfied with occlusion and good mouth opening.Some cases were with some compli-cations including frontal branch of facial nerve permanent damaged in 1case,obvious scar in 11 cases,frontal parie-tal region pain and numbness in 3 cases,temporal depression was identified in 1 cases,lower eyelid congestion and conjunctival hyperemia in 8 cases,lower eyelid ectropion in 1 case and lower eyelid depression in 2 cases. Conclusion Semi-coronal incision and local small incision eyelid under the edge of the incision and intraoral vestib-ular incision is the most common surgical approach in zygomatic maxillary fractures.The vast majority of patients can have a good therapeutic efficacy on the basis of surgical approaches and fractures principles,but some possible complications may take place.Complications will be avoid if we focus on the local anatomical relationships during the operation,master the concerned principle of fixation and take emphasis on the operating skills.
Keywords：Zygomatic maxillary fractureOperative approachComplications
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 658-660,661 )