CN108542481A - Fixed healing mask and fixed healing system outside a kind of fracture of zygomatic bone - Google Patents
Fixed healing mask and fixed healing system outside a kind of fracture of zygomatic bone Download PDFInfo
- Publication number
- CN108542481A CN108542481A CN201810448508.6A CN201810448508A CN108542481A CN 108542481 A CN108542481 A CN 108542481A CN 201810448508 A CN201810448508 A CN 201810448508A CN 108542481 A CN108542481 A CN 108542481A
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- Prior art keywords
- fixed
- cheekbone
- mask
- mask body
- fracture
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- 230000035876 healing Effects 0.000 title claims abstract description 40
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 37
- 210000000216 zygoma Anatomy 0.000 claims abstract description 75
- 230000001815 facial effect Effects 0.000 claims abstract description 35
- 238000002591 computed tomography Methods 0.000 claims abstract description 11
- 210000004279 orbit Anatomy 0.000 claims abstract description 10
- 238000003384 imaging method Methods 0.000 claims abstract description 9
- 238000000034 method Methods 0.000 claims description 11
- 238000010146 3D printing Methods 0.000 claims description 6
- 210000003128 head Anatomy 0.000 claims description 5
- 239000000463 material Substances 0.000 claims description 5
- 229910052602 gypsum Inorganic materials 0.000 claims description 4
- 239000010440 gypsum Substances 0.000 claims description 4
- 230000002980 postoperative effect Effects 0.000 claims description 4
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 3
- 239000013013 elastic material Substances 0.000 claims description 2
- 239000007787 solid Substances 0.000 claims description 2
- 238000012544 monitoring process Methods 0.000 claims 1
- 238000006073 displacement reaction Methods 0.000 abstract description 3
- 208000014674 injury Diseases 0.000 abstract 1
- 230000008733 trauma Effects 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 4
- 231100000241 scar Toxicity 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 2
- 238000002695 general anesthesia Methods 0.000 description 2
- 238000003754 machining Methods 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000004520 agglutination Effects 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000037237 body shape Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 229910003460 diamond Inorganic materials 0.000 description 1
- 239000010432 diamond Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003054 facial bone Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 210000003582 temporal bone Anatomy 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
- A61B2017/603—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors with three points of contact, e.g. tripod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Gynecology & Obstetrics (AREA)
- Radiology & Medical Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to fixed healing mask outside a kind of fracture of zygomatic bone and fixed healing systems,Mask body and fixing screws including being worn on face,There are three tapped through holes for one or both sides tool on the mask body,One of tapped through hole is located at the position on mask body relative to facial cheekbone front side lower section,Another tapped through hole is located on mask body relative to facial cheekbone and zygomatic arch engaging portion bit positions,A remaining tapped through hole is located on mask body relative at facial eye socket outer rim bottom and cheekbone engaging portion position,Be tightened screw in the tapped through hole,For being positioned and being fixed to cheekbone,The fixed healing system uses the mask,Also there is CT scan imaging device,The mask of the present invention can effectively prevent the displacement of cheekbone,It is small to patient trauma when use,Patient's appearance is not damaged,It can be widely applied to the healing after fracture of zygomatic bone.
Description
Technical field
The present invention relates in art and postoperative technical field of medical instrument, and in particular to fixed healing is used outside a kind of fracture of zygomatic bone
Mask and fixed healing system.
Background technology
Cheekbone is one of facial bones, is the important position of human face, as shown in Figure 1, cheekbone is located at before Middle face, eye socket
Outer lower side, generally diamond shape forms the bone protrusion of Face and cheek, cheekbone altogether there are four protrusion, be respectively prominent volume dish, gnathism,
Temporo is prominent and socket of the eye is prominent, and the temporo of cheekbone is dashed forward to the zygomatic process for being followed by temporal bone, constitutes zygomatic arch, when fracture of zygomatic bone, be easily happened at eye socket outer rim with
The position of cheekbone junction, the position of cheekbone and zygomatic arch junction, eye socket bottom and cheekbone junction position clinically adopt
It the methods of such as agitated, pulled with simple operation after resetting cheekbone, cheekbone is easy to collapse to facial rear and lower section, can not make cheekbone
Bone fixation position and good healing.Mostly use open reduction and Internal immobilization after general anesthesia, this mode wound at present
Greatly, it is costly and it is normal need patient face cut and leave facial scar and damage caused to appearance.
Invention content
The purpose of the present invention is to overcome above-mentioned the deficiencies in the prior art, after the small notch reduction of the fracture in simple mouth
Fixed healing mask outside a kind of fracture of zygomatic bone is provided and is avoided that cheekbone is displaced, the damage to human face after cheekbone resets
Small, reduction is spent, and can be widely applied in the work of the fixed nursing after fracture of zygomatic bone.
To achieve the above object, the present invention uses following technical proposals：
A kind of fracture of zygomatic bone fixed healing mask, including mask body and fixing screws outside, the one of the mask body
There are three tapped through holes or both sides to all have three tapped through holes for side tool, wherein a tapped through hole is located at mask body
On relative on front side of facial cheekbone at the position of lower section, another tapped through hole be located on mask body relative to facial cheekbone with
Zygomatic arch engaging portion bit positions, a remaining tapped through hole are located on mask body relative to facial eye socket outer rim bottom and cheekbone
At the position of engaging portion, be tightened screw in the tapped through hole, for being positioned and being fixed to cheekbone.
Further, there is two first symmetrical openings, first opening and face on the mask body
The position of eyes is corresponding, and on the mask body, the position between two first openings has to match with nose shape
Protrusion, it is described protrusion on be just useful for nose breathing second opening.
Further, the mask body uses gypsum material, is processed and makes using the method for 3D printing, mask
The shape of ontology matches with face shape.
Further, there is fixed rope, the head for mask body to be fixed on to human body on the mask body.
Further, the fixed rope is made of elastic material.
Further, the fixing screws include thread segment and fixed section, and the fixed section is in the angular tapered knot of tool
Structure, the thread segment are tightened in tapped through hole, and the pyramidal structure end of fixed section is contacted with cheekbone, to cheekbone carry out limit and
It is fixed.
Further, rotary head is arranged in one end of the thread segment, is conveniently operated.
Further, the maximum gauge of the thread segment and fixed section is less than 1mm.
The invention also discloses a kind of fractures of zygomatic bone to fix healing system, is used using fixed healing outside the fracture of zygomatic bone
Mask, the mask body are worn on patient facial region for postoperative, and fixing screws from the tapped through hole of mask body for revolving
Entering, resist cheekbone, three-point mount is carried out to cheekbone, it further includes CT scan imaging device that the fracture of zygomatic bone, which fixes healing system,
During the CT scan imaging device is for the screw-in of fixing screws, patient facial region is scanned, adjusts fixed spiral shell at any time
The screw-in depth of nail, it is ensured that the fixed position of cheekbone is accurate, and is monitored to the healing state of patient's fracture of zygomatic bone.
Beneficial effects of the present invention：
1. fixed healing mask, three portions of cheekbone are resisted using three fixing screws outside the fracture of zygomatic bone of the present invention
Position, the principle for determining a plane using 3 points limits cheekbone and is fixed, simple to operate.
2. fixed healing mask outside the fracture of zygomatic bone of the present invention, the diameter of three fixing screws is smaller, to skin after taking-up
The damage of skin can be ignored, and effectively prevent leaving operative incision scar in skin of face, will not be beautiful to the facial appearance of patient
Sight has an impact.
3. using fixed healing mask outside the fracture of zygomatic bone of the present invention, after patient's cheekbone operative reduction, cheekbone is avoided
The risk of displacement is generated, and the simple cost of mask making is relatively low, greatly reduces the consumption of patient.
Description of the drawings
The accompanying drawings which form a part of this application are used for providing further understanding of the present application, and the application's shows
Meaning property embodiment and its explanation do not constitute the restriction to the application for explaining the application.
Fig. 1 is cheekbone structural schematic diagram；
Fig. 2 is mask body structural schematic diagram of the present invention；
Fig. 3 is fixing screws structural schematic diagram of the present invention；
Fig. 4 is operation principle schematic diagram of the present invention；
Wherein, 1. mask body, 1-1. tapped through holes, 1-2. protrusions, 1-3. first are open, and 1-4. second is open, 1-5.
Fixed rope, 2. fixing screws, 2-1. thread segments, 2-2. fixed sections, 3. cheekbones, 4. zygomatic arches, 5. eye socket bottoms, 6. eye socket outer rims.
Specific implementation mode
It is noted that following detailed description is all illustrative, it is intended to provide further instruction to the application.Unless another
It indicates, all technical and scientific terms used herein has usual with the application person of an ordinary skill in the technical field
The identical meanings of understanding.
It should be noted that term used herein above is merely to describe specific implementation mode, and be not intended to restricted root
According to the illustrative embodiments of the application.As used herein, unless the context clearly indicates otherwise, otherwise singulative
It is also intended to include plural form, additionally, it should be understood that, when in the present specification using term "comprising" and/or " packet
Include " when, indicate existing characteristics, step, operation, device, component and/or combination thereof.
In order to facilitate narration, if there is "upper", "lower", " left side " " right side " printed words, only expression and attached drawing itself in the present invention
Upper and lower, left and right direction it is consistent, not to structure rise restriction effect, it is only for convenient for description the present invention and simplification retouch
It states, does not indicate or imply the indicated equipment or element must have a particular orientation, with specific azimuth configuration and operation,
Therefore it is not considered as limiting the invention.
As background technology is introduced, at present after fracture of zygomatic bone, the methods of such as agitates cheekbone, pulls using simple operation
After reduction, cheekbone is easy to collapse to facial rear and lower section, can not make cheekbone fixed position and good healing.It is at present to adopt more
With open reduction after general anesthesia and Internal immobilization, this mode wound is big, the costly and normal face needed in patient
It cuts and leaves facial scar and damage is caused to appearance, in view of the above-mentioned problems, present applicant proposes solid outside a kind of fracture of zygomatic bone
Fixed healing mask.
In a kind of exemplary embodiment of the application, as in Figure 2-4, a kind of fracture of zygomatic bone healing mask, including wear
The mask body 1 and fixing screws 2 in face are worn, both sides all have three tapped through hole 1-1 on the mask body, wherein one
A tapped through hole is located at the position on mask body relative to facial cheekbone front side lower section, another tapped through hole position
At on mask body relative to facial cheekbone and zygomatic arch engaging portion position, a remaining tapped through hole is located at phase on mask body
At facial eye socket bottom and cheekbone engaging portion position, be tightened screw in the tapped through hole, in use, fixing screws
It across skin, contacts, is against on cheekbone with cheekbone, the principle for determining a plane using 3 points consolidates the position of cheekbone
It is fixed, it realizes and is positioned and fixed for cheekbone, prevent the displacement of cheekbone.The case where according to patient, if patient only has one
The fracture of zygomatic bone of side is then only threaded through-hole in the side of mask body, and the cheekbone of patient both sides is fractured, then in mask sheet
It is respectively provided with tapped through hole at left and right sides of body.The position of tapped through hole is determined according to the fracture site of patient's cheekbone.
There are two first symmetrical opening 1-2, first opening and facial eyes on the mask body
Position is corresponding, and on the mask body, the position between two first openings has the protrusion to match with nose shape
1-3 is just useful for the second opening 1-4 of nose breathing in the protrusion, there is flexible material to be made on the mask body
Fixed rope 1-5, the head for mask body to be fixed on to human body, first opening, protrusion, second opening and fixed rope be existing
There is the structure being all had on mask, opens up form and connection type herein without being described in detail.
The mask body uses gypsum material, using the method processing and fabricating of 3D printing, the shape of mask body and trouble
Person's face shape matches, and mask body can be fitted closely with patient facial region.
The fixing screws 2 include thread segment 2-1 and fixed section 2-2, and the fixed section is in have angular tapered structure,
The thread segment is tightened in tapped through hole, and fixed section is contacted across skin of face with cheekbone, is limited to cheekbone.The spiral shell
The maximum gauge of line section and fixed section is less than 1mm.Fixing screws pass through skin and take out after, skin will not be caused damage and
It leaves a trace on skin, ensure that the appearance of patient is without damage.
Since the diameter of fixing screws is smaller, it has not been convenient to rotate, therefore in one end of thread segment setting rotary head 2-
3, it is conveniently operated.
The invention also discloses a kind of fractures of zygomatic bone to fix healing system, using the mask body and fixing screws,
The mask body is worn on patient facial region for postoperative, and fixing screws are supported for being passed through from the tapped through hole of mask body
Firmly cheekbone carries out three-point mount to cheekbone, and it further includes CT scan imaging device, the CT that the fracture of zygomatic bone, which fixes healing system,
Scanned imagery device obtains patient facial region's shape, mask is made according to patient facial region's shape for being scanned to patient facial region
Ontology, the CT scan imaging device are additionally operable to during the screw-in of fixing screws, are scanned to patient facial region, adjust at any time
The screw-in depth of fixing screws, it is ensured that the fixed position of cheekbone is accurate, and is monitored to the healing state of patient's fracture of zygomatic bone.
A kind of fracture of zygomatic bone fixes the application method of healing system, includes the following steps：
Step 1：Mask body is made according to patients head's shape, the mask body is made using the method for 3D printing,
It is high in machining efficiency, it is at low cost using gypsum material, and facilitate and be processed using 3D printing method, the mask body shape
Shape matches with patient facial region, can fit with patient facial region, modeling and printing technique of this step using existing 3D printing
, herein without describing in detail.
Step 2：CT scan is carried out to patient facial region, the machining position of mask body upper tapped through hole is determined according to scanning result
It sets, a tapped through hole is located on mask body at relative to the position below cheekbone before face, another tapped through hole is located at
On mask body relative to facial cheekbone and zygomatic arch engaging portion position at, a remaining through-hole is located on mask body relative to face
Portion eye socket outer rim bottom processes tapped through hole, the Working position of tapped through hole at the position of cheekbone engaging portion on mask body
A certain range of position around above three position need to be only set, without setting exact position, because only needing
Three points that fixing screws are resisted to cheekbone corresponding position reduce difficulty of processing without being required to its exact position,
Tapped through hole after processing is completed, is cleared up entire mask body, and carries out disinfection operation to mask body and fixing screws.
Step 3：Cheekbone reattachment surgery is carried out to patient using existing local anaesthesia cheekbone reattachment surgery not exist
Facia incision and jawbone are implanted into metallic titanium plate and fix, and determine that the reduction of the fracture is accurate by CT scan imaging device, herein not
It is described in detail.
Step 4：After the completion of operation, needs the position across fixing screws to carry out disinfection patient facial region, utilize fixed rope
Mask body is fixed on patients head, and screws in fixing screws in tapped through hole, fixing screws pass through skin, screw-in depth
So that the fixed section end of fixing screws is resisted cheekbone, during fixing screws screw in, is carried out at any time using CT scan imaging device
CT scan adjusts the screw-in depth of fixing screws according to scanning result at any time.
Step 5:In agglutination, CT scan is carried out after the healing of patient's cheekbone to patient facial region at any time and removes fixed spiral shell
Nail, removes mask.
Above-mentioned, although the foregoing specific embodiments of the present invention is described with reference to the accompanying drawings, not protects model to the present invention
The limitation enclosed, those skilled in the art should understand that, based on the technical solutions of the present invention, those skilled in the art are not
Need to make the creative labor the various modifications or changes that can be made still within protection scope of the present invention.
Claims (9)
1. fixed healing mask outside a kind of fracture of zygomatic bone, which is characterized in that including mask body and fixing screws, the mask
There are three tapped through holes or both sides to all have three tapped through holes for side tool on ontology, the tapped through hole position described in one of them
In on mask body relative on front side of facial cheekbone at the position of lower section, another tapped through hole be located on mask body relative to
Facial cheekbone and zygomatic arch engaging portion bit positions, a remaining tapped through hole are located on mask body relative to facial eye socket outer rim
Bottom is at the position of cheekbone engaging portion, and be tightened screw in the tapped through hole, for being positioned and being fixed to cheekbone.
2. fixed healing mask outside a kind of fracture of zygomatic bone as described in claim 1, which is characterized in that on the mask body
With two first symmetrical openings, first opening is corresponding with the facial position of eyes, on the mask body,
Position between two first openings has the protrusion to match with nose shape, and nose breathing is just useful in the protrusion
Second opening.
3. fixed healing mask outside a kind of fracture of zygomatic bone as described in claim 1, which is characterized in that the mask body is adopted
It with gypsum material, is processed and makes using the method for 3D printing, shape and the face shape of mask body match.
4. fixed healing mask outside a kind of fracture of zygomatic bone as described in claim 1, which is characterized in that on the mask body
With fixed rope, the head for mask body to be fixed on to human body.
5. fixed healing mask outside a kind of fracture of zygomatic bone as claimed in claim 4, which is characterized in that the fixed rope uses
Elastic material is made.
6. fixed healing mask outside a kind of fracture of zygomatic bone as described in claim 1, which is characterized in that the fixing screws packet
Thread segment and fixed section are included, the fixed section is tightened in having angular tapered structure, the thread segment in tapped through hole, Gu
Determine section to contact with cheekbone across skin of face, cheekbone is limited and is fixed.
7. fixed healing mask outside a kind of fracture of zygomatic bone as described in claim 1, which is characterized in that the one of the thread segment
End setting rotary head.
8. fixed healing mask outside a kind of fracture of zygomatic bone as described in claim 1, which is characterized in that the thread segment with it is solid
The maximum gauge for determining section is less than 1mm.
9. a kind of fracture of zygomatic bone fixes healing system, which is characterized in that use claim 1-8 any one of them fractures of zygomatic bone
Outer fixation healing mask, the mask body are worn on patient facial region for postoperative, and fixing screws are used for from mask body
It is screwed in tapped through hole, resists cheekbone, three-point mount is carried out to cheekbone, it further includes that CT is swept that the fracture of zygomatic bone, which fixes healing system,
Imaging device is retouched to be scanned patient facial region, at any time during the CT scan imaging device is for the screw-in of fixing screws
Adjust the screw-in depth of fixing screws, it is ensured that the fixed position of cheekbone is accurate, and is carried out to the healing state of patient's fracture of zygomatic bone
Monitoring.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810448508.6A CN108542481A (en) | 2018-05-11 | 2018-05-11 | Fixed healing mask and fixed healing system outside a kind of fracture of zygomatic bone |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810448508.6A CN108542481A (en) | 2018-05-11 | 2018-05-11 | Fixed healing mask and fixed healing system outside a kind of fracture of zygomatic bone |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108542481A true CN108542481A (en) | 2018-09-18 |
Family
ID=63494391
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810448508.6A Pending CN108542481A (en) | 2018-05-11 | 2018-05-11 | Fixed healing mask and fixed healing system outside a kind of fracture of zygomatic bone |
Country Status (1)
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| CN (1) | CN108542481A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113180810A (en) * | 2021-04-06 | 2021-07-30 | 四川大学 | Bone fracture plate for zygomatic bone and zygomatic arch incision and internal pushing plastic surgery |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113180810A (en) * | 2021-04-06 | 2021-07-30 | 四川大学 | Bone fracture plate for zygomatic bone and zygomatic arch incision and internal pushing plastic surgery |
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