耳屏前直线切口直视下行髁突骨折坚固内固定及其疗效  

Clinical observation on the efficacy of surgical treatment of mandibular condylar fracture by a direct approach

作　　者：李亚娣[1] 黄永清[1] 乔光伟[1] 马坚[1] 

机构地区：[1]宁夏医学院附属医院口腔颌面外科,750004

出　　处：《实用口腔医学杂志》2008年第4期547-549,共3页Journal of Practical Stomatology

基　　金：宁夏人事厅出国留学归国人员资助项目(编号:04-21);宁夏卫生厅立项(编号:W2007-26)

摘　　要：目的:探讨下颌骨髁突骨折内固定术新入路的方法及治疗效果。方法:对7例(9侧)髁突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:此手术入路暴露充分,视野较好,直视下即可操作进行手术,术后患者咬合关系恢复良好,部分病例面神经轻瘫,经治疗术后3个月内均恢复正常。结论:此方法是进行髁突骨折复位内固定术的较好方法。Objective ：To explore the therapeutic efficacy of a new access to internal rigid fixation for mandibular condylar fracture. Methods： 7 patients with 9 unilateral mandibular condylar fractures were treated with preauricular beeline incisions. The two trunks of facial nerve were dissected and separated along the surface of the superficial temporal veins. Mandibular ramus periosteum was dissected. The fracture segments were reduced and fixed under sufficient exposure. Results： This operation access provided a sufficient exposure and was convenient for reduction and fixation. All the patients recovered effectively. Conclusion ： This surgical approach is one of the feasible methods for reduction and fixation of mandibular condylar fracture.

关 键 词：下颌骨髁突骨折 坚固内固定 手术入路 

分 类 号：R782.4[医药卫生—口腔医学]