正颌外科技术在陈旧性颌骨骨折治疗中的应用  

Application orthognathic technique in treating long-standing jaw fractures

作　　者：张清彬[1] 东耀峻[2] 李祖兵[2] 刘亚蕊[1] 董福生[1] 

机构地区：[1]河北医科大学口腔医院口腔颌面外科,河北石家庄050017 [2]武汉大学口腔医学院口腔颌面外科,湖北武汉430000

出　　处：《中国口腔颌面外科杂志》2008年第4期299-302,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:评价正颌外科技术治疗陈旧性颌骨骨折的临床效果。方法:对1999年1月-2005年1月36例陈旧性颌骨骨折住院患者,采用X线头影测量VTO、模型外科及定位!板等正颌外科技术进行治疗。观察术前、术后患者面部畸形及功能障碍的变化,探讨正颌外科技术在陈旧性骨折中的应用要点。结果:本组病例中,34例患者术后恢复了正常的面形和咬合关系,2例经过术后配合正畸牵引也取得了良好的治疗效果。所有患者无严重手术并发症。结论:正颌外科技术是治疗陈旧性面部骨折的有效方法,可取得良好的治疗效果。PURPOSE： To evaluate the role of orthognathic technique in management of long-standing jaw fractures. METHODS： Fifty-six cases of long-standing jaw fractures admitted in our department from January 1999 to January 2005 were analyzed retrospectively. Thirty-six patients were treated with orthognathic surgery. The orthognathic principles and methods including VTO,model surgery and splint were used and evaluated. RESULTS： Excellent clinical results of dental occlusion and facial contour were obtained in 34 patients without severe complications.The remaining 2 patients had normal occlusion after intermaxillary distraction. CONCLUSIONS： Orthognathic technique is an important and effective method on treatment of long-standing jaw fractures. The other fractures of facial bones besides maxilla should be managed surgically in the same operation.

关 键 词：陈旧性颌骨骨折 正颌外科 坚强内固定 

分 类 号：R782.4[医药卫生—口腔医学]