眉弓下切口与冠状切口对颧骨颧弓骨折术后康复及美观满意度的影响

doi:10.19438/j.cjoms.2025.02.010

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (2): 165-169.doi: 10.19438/j.cjoms.2025.02.010

眉弓下切口与冠状切口对颧骨颧弓骨折术后康复及美观满意度的影响

胡超, 黄擎, 许伟

合肥市第二人民医院口腔科,安徽合肥 230000

收稿日期:2024-08-22 修回日期:2024-11-12 出版日期:2025-03-20 发布日期:2025-04-06
通讯作者: 胡超,E-mail: aydhuchao@163.com
作者简介:胡超（1982-）,男,硕士,主治医师

Effect of sub-brow incision and coronal incision on rehabilitation and aesthetic satisfaction after zygomatic fracture

HU Chao, HUANG Qing, XU Wei

Department of Stomatology, Hefei Second People's Hospital. Hefei 230000, Anhui Province, China

Received:2024-08-22 Revised:2024-11-12 Online:2025-03-20 Published:2025-04-06

摘要/Abstract

摘要： 目的：探讨眉弓下联合口内切口与冠状切口对颧骨颧弓骨折患者术后康复及美观满意度的影响。方法：选择2021年1月—2023年12月合肥市第二人民医院收治的颧骨颧弓骨折患者60例,根据手术方法不同分为2组,每组30例。对照组采用冠状切口,试验组采用眉弓下联合口内切口。比较2组术后3个月优良率和治疗满意度、并发症及术前和术后3个月的焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、舒适程度、饮食障碍评分、红色美学指数（PES）以及软组织肿胀消退时间、骨折愈合时间、住院时间及瘢痕发生率。采用SPSS 23.0软件包对数据进行统计学分析。结果：试验组术后3个月优良率和治疗满意度显著高于对照组（P<0.05）。术后3个月,试验组SAS、SDS、舒适程度、饮食障碍评分显著低于对照组（P<0.05）,PES评分显著高于对照组（P<0.05）。试验组的软组织肿胀消退时间、骨折愈合时间及住院时间显著短于对照组（P<0.05）,瘢痕发生率显著低于对照组（P<0.05）。2组并发症发生率比较,差异无统计学意义（P>0.05）。结论：眉弓下联合口内切口在颧骨颧弓骨折的治疗中表现出显著优势。该术式能够减少瘢痕发生率,减轻术后早期应激反应,加速患者术后恢复,在提升治疗满意度、美观满意度及患者心理状态（焦虑、抑郁）方面具有更好效果。

关键词: 颧骨颧弓骨折, 眉弓下切口, 冠状切口, 术后康复, 美观满意度

Abstract: PURPOSE: To investigate the effect of sub-brow combined intraoral incision and coronal incision on postoperative recovery and aesthetic satisfaction in patients with zygomatic arch fractures. METHODS: A total of 60 patients with zygomatic arch fractures admitted to Hefei Second People's Hospital from January 2021 to December 2023 were selected and divided into two groups with 30 cases in each group, based on the surgical method. The control group received a coronal incision, while the experimental group received a sub-brow combined intraoral incision. The two groups were compared in terms of postoperative 3-month excellent rate and treatment satisfaction, complications, preoperative and postoperative 3-month scores on the Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS), comfort level, dietary disorder score, pink esthetic score(PES), soft tissue swelling subsidence time, fracture healing time, hospital stay, and scar incidence. SPSS 23.0 software package was used for statistical analysis. RESULTS: The experimental group showed higher postoperative 3-month excellent rate and treatment satisfaction compared to the control group(P< 0.05). At 3 months post-surgery, the experimental group had lower SAS, SDS, comfort level, and dietary disorder scores compared to the control group(P< 0.05), and higher PES scores(P< 0.05). The experimental group also had shorter soft tissue swelling subsidence time, fracture healing time, and hospital stay, with lower scar incidence compared to the control group(P< 0.05). There was no significant difference in complication rates between the two groups(P> 0.05). CONCLUSIONS: Sub-brow combined intraoral incision demonstrates significant advantages in the treatment of zygomatic arch fractures. This technique can reduce scar incidence, alleviate early postoperative stress responses, and accelerate postoperative recovery and improve the satisfaction of treatment, aesthetic satisfaction and psychological state of patients (anxiety, depression).

Key words: Zygomatic arch fracture, Sub-brow incision, Coronal incision, Postoperative recovery, Aesthetic satisfaction

中图分类号:

R782.4

胡超, 黄擎, 许伟. 眉弓下切口与冠状切口对颧骨颧弓骨折术后康复及美观满意度的影响[J]. 中国口腔颌面外科杂志, 2025, 23(2): 165-169.

HU Chao, HUANG Qing, XU Wei. Effect of sub-brow incision and coronal incision on rehabilitation and aesthetic satisfaction after zygomatic fracture[J]. China J Oral Maxillofac Surg, 2025, 23(2): 165-169.

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眉弓下切口与冠状切口对颧骨颧弓骨折术后康复及美观满意度的影响

Effect of sub-brow incision and coronal incision on rehabilitation and aesthetic satisfaction after zygomatic fracture

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