An innovated surgical strategy of coronoid process fracture combined with ipsilateral zygomatic arch fracture
10.3969/j.issn.1671-8348.2015.28.024
- VernacularTitle:下颌骨喙突合并同侧颧弓骨折的改良手术治疗
- Author:
Ka XIE
;
Tao WANG
- Publication Type:Journal Article
- Keywords:
mandibular oracoid;
zygomatic arch;
fractures;
semi coronoid scalp incision
- From:
Chongqing Medicine
2015;(28):3969-3970,3974
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore an effective and safe therapeutic strategy in the treatment of coronoid process fracture com‐bined with ipsilateral zygomatic arch fracture .Methods Through the semi coronoid scalp incision ,`an open reduction and internal fixation of zygomatic arch fracture was done .The operation was modified that the area of zygomatic arch fracture was exposed ade‐quately ,and then the fracture fragments of zygomatic arch were turned up .The coronoid process fracture pieces were isolated and removed along with the direction of muscle fibers in the temporalis muscle .Results All Cases of the surgical incisions were healed by primary intention .After 3 - 24 months following up ,the function of mouth opening and closing ,and the other movements of mandible became normal .Conclusion Through the semi coronoid scalp incision ,zygomatic arch fracture reduction and internal fixa‐tion and the coronoid process fracture pieces removing can be done simultaneously .In this way ,an effective and safe therapeutic strategy for treating coronoid process fracture combined with ipsilateral zygomatic arch fracture .
