摘要目的 探讨三点式钛钉、钛板坚固内固定对颧骨颧弓过高截骨矫正术的效果.方法 选择2014年1月至2017年1月,中日友好医院整形外科45例颧骨颧弓过高美容就医者,全身麻醉下颧骨颧弓截骨后进行三点式钛钉、钛板坚固内固定,观察手术效果.术后6个月随访,拍摄头颅三维CT观察颧骨颧弓骨愈合情况.结果 45例美容就医者手术切口均一期愈合,颧骨颧弓外形均明显改善,术后6个月头颅三维CT前后端均显示骨愈合良好,所有美容就医者均对治疗效果满意.结论 颧骨颧弓过高截骨矫正术中采用三点式钛钉、钛板坚固内固定,可有效地固定颧骨颧弓游离骨段,避免骨不连及骨吸收,达到良好的骨愈合效果.

abstractsObjective To evaluate the effect of three-point rigid internal fixation technique in reduction malarplasty for prominent malar complex.Methods From January of 2014 to January of 2017,45 patients with prominent malar complex were treated with double L shape osteotomy combined bony Z plasty and three-point rigid internal fixation for prominent malar complex.The preoperative and postoperative photographs were taken to monitor the contour improvement,the adverse effects were recorded,and 3D CT was used to assess the bone union situation at 6 months after operation.Results All the wounds got primary intention healing and no severe complication occured in perioperative period.3D CT showed good bone recovery 6 months after operation.Postoperative appearance of all cases showed that the width of middle face was efficiently reduced.All patients expressed high levels of satisfaction.Conclusions Reduction malarplasty with three-point rigid internal fixation for prominent malar complex is an effective and safe method for the treatment of prominent malar complex.