摘要
目的探讨治疗髁突矢状骨折的有效方法。方法采用手术摘除错位较重的碎骨决及保守颌间牵引治疗技术。结果本组17例髁状突矢状骨折病例。治疗后无继发感染、张口受限、关节强直、咬合紊乱及颜面畸形等并发症发生。随访6个月～8年，患者咬牙A关系、张口运动恢复良好；CT片或曲面断层片显示，髁突改建后外形大致正常或略低于正常髁突。结论合理运用手术摘除错位较重的碎骨决及保守牵引技术是治疗髁突矢状骨折切实可行的方法。
Objective To research the clinicl effect of treating sagittal fracture of the mandibular condyle（SMFC）. Methods 17 cases of SMFC patients were treated by removing the severe allotopic broken bone block of SMFC and adopting conservative intermaxillary traction. Results All these patients had no adverse side effects such as secondary infection,limitation of mouth opening, arthrocleisis, occlusion disorder and facial deformity. Following-up from the 6th month to the 8th year indicated that their occluding relation and opening movement recovered well. The CT graphs and panoramic radiographs of operated patients discovered that the injured condylar processes had become roughly proper or a little less proper. Conclusion Reasonably removing the severe allotopic broken bone block of SMFC and adopting conservative intermaxillary traction are the more effective methods to cure SMFC,which is easy to be grasped and popularized.
出处
《淮海医药》
CAS
2007年第3期189-190,共2页
Journal of Huaihai Medicine
基金
山东省科技厅科研项目(2006GG2302035)
关键词
下颌骨髁状突
骨折
颌间牵引
口腔外科手术
Mandibular condyle
Fractures,bone
Intermaxillary traction
Oral surgical procedures
