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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。
OBJECTIVE: To analyze the correlation between different zygomatic and temporal fractures and temporal depression, and to evaluate the prevention and treatment of temporal depression after zygomatic and temporal fractures. Methods: A total of 105 cases of zygomatic and temporal fractures were retrospectively analyzed. Fifty-two patients underwent temporal recession repair. Coronal scalp incision was performed. Titanium mesh was used to repair the temporal recess. The effect of treatment was evaluated by long-term follow-up. Results: The incidence of obsolete temporal fractures was significantly higher than that of fresh fractures, but the temporal appearance of the fractures were significantly improved after treatment. Conclusion: The implantation of titanium mesh can effectively repair the temporal recession after zygomatic and temporal fractures, but the operation timing and treatment should be grasped.