摘要
目的:探讨髁突下骨折切开复位内固定的新入路。方法:对6例(8侧)髁突下骨折患者行患侧耳屏前直线切口,顺颞浅静脉表面向下分离,寻找面神经颞面干和颈面干,并对其加以保护后,切开下颌支骨膜,在直视下对骨断端行复位内固定。结果:此手术入路视野好,骨断端暴露充分,便于复位固定。所有病例术后咬合关系良好,无面神经损伤。结论:此手术入路是髁突下骨折切开复位内固定的较好方法。
PURPOSE： To explore a new access to internal rigid fixation for subcondylar fracture of the mandible, METHODS： 6 patients,8 unilateral subcondylar fractures were treated with preauricular beeline incisions, The two trunks of facial nerve were dissected and separated along the surface of the superficial temporal vein. Mandibular ramus periosteum was dissected. The fracture segments were reduced and fixed under sufficient exposure. RESULTS： This access provided a good surgical vision and was convenient for reduction and fixation. The occlusions of all case were good without injury to the facial nerve. CONCLUSION： This surgical access is one of the preferable measures for reduction and fixation of subcondylar fractures of the mandible.
出处
《中国口腔颌面外科杂志》
CAS
2005年第3期262-264,共3页
China Journal of Oral and Maxillofacial Surgery
关键词
髁突下骨折
坚强内固定
手术方法
Subcondvlar fracture
Internal rigid fixation
Surgical access
