颧颞部骨折术后并发颞部凹陷的临床回顾性研究

目的：分析不同颧颞部骨折性质与颞部凹陷的相关性,评价颧颞部骨折术后并发颞部凹陷的防治效果。方法：对105例颧颞部骨折病例进行回顾性分析,52例患者行颞部凹陷修复术,采用头皮冠状切口,应用钛网修复颞部凹陷,术后通过长期随访评价治疗效果。结果：陈旧性骨折颞部凹陷的发生率显著高于新鲜骨折,但治疗后颞部外形均有明显改善。结论：钛网植入能有效地修复颧颞部骨折术后并发的颞部凹陷,但应把握手术时机及治疗方法。

Clinical Study on Temporal Hollowing of Postoperative Zygomatic Fractures

Objiective： To analyze the relationship of zygomatic frcture and temporal hollowing,and study the effective methods of prevention and treatment.Methods： The retrospective analysis was based on 105 cases with zygomatic complex fractures.There were 53 cases who have had the surgery of implantation of titanium mesh through coronal incision.Fellow-up was conducted for 6 months to 24 months.Results： The incidence of temporal hollowing in old fractue was higher than fresh fracture significantly,but this cosmetic problem was recovered after operation.Conclusions： The surgery of implantation of titanium mesh can reconstruct temporal howllowing after fixation of zygomatic fracture,but we should choose appropriate time and method of operation.