针对患者的创伤后颧骨畸形矫正方法
Patient-specific approach to the correction of a post-traumatic zygomatic deformity.
摘要(中文译文)
颧上颌复合体（ZMC）骨折是面中部最常见的损伤之一，若未经治疗，可导致显著的功能与美学后遗症。虽然切开复位内固定是急性骨折的标准治疗方案，但就诊较晚的病例因骨骼重塑和解剖标志改变而仍具挑战性。二期矫正方案包括经颧骨截骨的骨骼重新定位或植入物遮盖。我们报告一例年轻女性患者，其在国外急诊行颅骨修补术后，颧上颌复合体骨折移位未予治疗。两个月后，她接受了矫正手术，采用患者特异性切割导板、截骨术和定制固定板，经摆动眼睑入路和口内入路完成。手术成功恢复了面中部对称性和眶容积。本病例凸显了患者特异性手术规划、多学科协作和精细截骨技术在创伤后延迟性颧上颌复合体畸形处理中的价值。
Abstract
Fractures of the zygomaticomaxillary complex (ZMC) represent one of the most frequent midfacial injuries and, if untreated, can result in significant functional and aesthetic sequelae. While open reduction and internal fixation is the standard of care for acute fractures, late presentations remain challenging due to bone remodelling and altered anatomical landmarks. Secondary corrective options include skeletal repositioning via zygomatic osteotomy or implant-based camouflage.We present the case of a young female patient with a displaced ZMC fracture left untreated following urgent cranioplasty abroad. Two months later, she underwent corrective surgery using patient-specific cutting guides, osteotomies and custom fixation plates through a swinging-eyelid and intraoral approach. The procedure successfully restored midfacial symmetry and orbital volume.This case highlights the value of patient-specific surgical planning, multidisciplinary collaboration and careful osteotomy technique in the management of post-traumatic delayed ZMC deformities.
如何引用
AMA
Camilla Pagnacco, Sachin M Salvi, Samantha Houlton, Nicholas J Lee. Patient-specific approach to the correction of a post-traumatic zygomatic deformity.. BMJ case reports. 2026; doi:10.1136/bcr-2025-271620.
APA
Camilla Pagnacco, Sachin M Salvi, Samantha Houlton, Nicholas J Lee (2026). Patient-specific approach to the correction of a post-traumatic zygomatic deformity.. BMJ case reports. https://doi.org/10.1136/bcr-2025-271620
GB/T 7714
Camilla Pagnacco, Sachin M Salvi, Samantha Houlton, Nicholas J Lee. Patient-specific approach to the correction of a post-traumatic zygomatic deformity.[J]. BMJ case reports, 2026 doi:10.1136/bcr-2025-271620.
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