口内入路治疗髁突低位骨折

发布时间：2018-04-24 18:58

本文选题：口内入路 + 内窥镜　；参考：《口腔医学研究》2017年05期

【摘要】：目的:探讨口内入路治疗髁突低位的安全性及有效性。方法:回顾性研究本院2014年1月~2016年4月所收治8例髁突低位骨折的患者,选择口内入路对髁突低位骨折进行切开复位内固定术。结果:8例患者,10侧髁突低位骨折,其中5例患者合并下颌骨体部骨折。髁突低位骨折患者行内窥镜辅助下穿颊器或侧壁螺丝刀口内入路进行手术治疗。术后患者创口均Ⅰ期愈合,未发现面瘫及涎瘘等并发症,术后复查全口曲面断层片和三维CT示骨折断端对位良好。3个月后复查,面部无明显疤痕,张口度正常,咬合关系良好。结论:利用穿颊器或侧壁螺丝刀口内入路治疗髁突低位骨折,相对于传统的耳前、颌下及颌后入路,手术创伤小,面部无明显瘢痕,外形良好,配合内窥镜的使用,更加便于直视下完成骨折复位固定,是治疗髁突低位骨折安全有效的手术入路。
[Abstract]:Objective: To explore the safety and effectiveness of incondylar approach in the treatment of low condylar position. Methods: a retrospective study of 8 patients with low fracture of condyle in our hospital, January 2014, ~2016 April, underwent open reduction and internal fixation for low position condylar fracture with intraoral approach. Results: 8 cases, 10 side condyle fractures, 5 cases were combined with lower fracture. Fracture of the mandible. The patients with low position fracture of the condyle were treated with endoscope assisted buccal or side wall screwdriver. The postoperative wound was healed in stage I, no complications such as facial paralysis and salivary fistula were found. After the operation, the full oral surface tomography and the three-dimensional CT bone fracture end were rechecked for.3 months, and the face was not obvious. Cicatricial, open mouth degree is normal, occlusal relationship is good. Conclusion: the use of the buccal or side wall screwdriver incision in the treatment of low fracture of the condyle, compared with the traditional anterior ear, submaxillary and posterior approach, the surgical trauma is small, the face has no obvious scar, the appearance is good, with the use of endoscope, it is more convenient to complete fracture reduction and fixation under direct vision, it is the treatment of treatment. It is the treatment of treatment. A safe and effective surgical approach to low condylar fracture.

【作者单位】：南京大学医学院附属口腔医院南京市口腔医院颌面外科;
【基金】：江苏省卫生厅课题项目(编号:H201441) 南京市科技发展计划项目(编号:201503038)
【分类号】：R782.4

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