ĐÁNH GIÁ KẾT QUẢ GIẢI PHÂU CHỨC NĂNG THẨM MỸ SAU ĐIỀU TRỊ GÃY HÀM GÒ MÁ PHƯƠNG PHÁP NẮN CHỈNH XƯƠNG GÒ MÁ QUA XOANG HÀM

Abstract

Background: Complicated cheekbone fractures with little or no displacement are usually treated without surgical intervention, while fractures with functional or cosmetic effects in the form of diplopia, extraocular muscle entrapment, malocclusion, limited mouth opening, and/or zygomatic arch depression often require surgical intervention. Objective: To evaluate the results of aesthetic functional surgery after treatment of patients with cheekbone fractures by means of cheekbone correction through the maxillary sinus. Materials and methods: All 49 patients with zygomatic fractures were examined and treated with cheekbone correction through the maxillary sinus at Hau Giang Provincial General Hospital from February 2019 to June 2020. Descriptive cross-sectional study with analysis and clinical intervention without control group. Results: - The percentage of patients with good anatomical assessment before discharge was 83.7%, 89.8% after 1 week of discharge and 91.8% after 3 months of treatment.  - Patients had good function before treatment is 85.7%, after 1 week of discharge is 95.9% and after 3 months of treatment is 98.0%. - Hospital discharge is 77.6%, 1 week after discharge is 83.7% and after 3 months of treatment is 87.8%. Conclusion: The method of correcting cheekbones through the maxillary sinus is a minimally traumatic surgical method that provides good aesthetic function.