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大多数颧弓骨折通过闭合复位,如Gilles法或Dingmant法,颧弓复位后不作任何固定,仅靠限制咀嚼运动,防止免受外力得以维持。然而,在有些情况下,以单纯复位矫正骨折是不可能的,矫正后的颧弓仍具有活动性。在这种情况下,可以采取颞窝填塞,硅管插入,以及许多外牵引方法,以免广泛切开复位。开放复位也有应用。但是,冠状切口可诱发出血,或引起瘢痕,脱发,头皮感觉异常,额神经损伤。同时,耗费时间也多。作者设计双Kirschner氏钢丝(K氏钢丝)的简单方法,固定骨折的颧弓。
Most zygomatic arch fractures by closed reduction, such as Gilles method or Dingmant method, zygomatic arch reset without any fixed, only by limiting the chewing movement, to prevent the external force to be maintained. However, in some cases, it is impossible to correct fractures with a simple reduction. The corrected zygomatic arch is still active. In this case, you can take the temporal fossa plug, silicone tube insertion, and many external traction method to avoid extensive open reduction. Open reset also has application. However, the coronary incision can induce bleeding, or cause scars, hair loss, scalp sensory abnormalities, forehead injury. At the same time, it takes more time. The authors designed a simple method of double Kirschner's wire (K's wire), fixing the fractured zygomatic arch.