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。

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 investigated and analyzed retrospectively,which applied surgical treatment with scalp coronal incision in combination with intraoral incision approaches. Results:Good clinical results were gained in all surgical patients through the scalp coronal incision approach. Postoperative recovery was good and no occlusal disorder was found. 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 as well as functional surgery,scalp coronal incision approach,which results fewer postoperative complications,can be fully exposed in surgery as the ideal surgical approach for panfacial fractures.

R782