目的：总结常见颌面部骨折手术治疗切口设计的临床经验。方法：对53例各类型颌面骨折患者，手术采用口内、口外或口内口外联合切口，配合相应的固定方式，术后随访6～18个月。结果：全部病例术后 X 线片示骨折愈合佳，患者张口度及咬合关系基本正常。手术切口较隐蔽，术后无明显瘢痕。结论：对于颌面部骨折手术路径首选采用美容切口及相应的固定方法，能获得可靠的固定效果和良好的美观效果。%Objective:To review the application of aesthetic incision design in the treatment of maxillofacial bone fracture.Methods:53 cases of different types of maxillofacial fractures were treated by oral incision,outlet incision or outlet combined with oral incision and corresponding fix method.The patients were followed up for 6 -18 months.Results:X-ray examination showed that all fractures were well cured.Mouth opening and occlusion were recovered to normal in all cases without obvious scar on maxillofacial skin.Con-clusion:Well designed incision and the corresponding fixed method may guarantee good cosmetic results and bone healing in the treat-ment of maxillofacial bone fracture.
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