耳周小切口穿腮腺径路治疗髁突颈部及基底部骨折  

Periauricular transparotid approach in the treatment of mandibular condylar fractures

作　　者：黄立[1] 林李嵩[1] 施斌[1] 朱小峰[1] 邱宇[1] 黄跃[1] 余学元[1] 廖云阳[1] 饶振雄 

机构地区：[1]福建医科大学附属第一医院口腔颌面外科福建医科大学面部整复与重建研究室,福州350005

出　　处：《福建医药杂志》2014年第2期1-3,共3页Fujian Medical Journal

基　　金：福建省卫生厅青年科研课题(2010-1-16)

摘　　要：目的探讨应用耳周小切口穿腮腺径路行髁突颈部及基底部等中低位骨折手术的治疗方法及临床疗效。方法对30例38侧下颌骨髁突中低位骨折患者采用耳屏前或内,或绕耳垂小切口,穿经腮腺组织后行骨折段的解剖复位及坚固内固定,术后随访6个月到3年,从患者的外形、张口度、咬合功能、并发症及影像学检查等方面进行疗效分析。结果30例患者中,1例出现一侧暂时性面神经功能不全,1例出现涎瘘,其他患者均外形满意,咬合关系良好,未发生明显并发症。张口度最大者4.2cm,最小者3.3cm,术后CT示所有患者骨折段均完全解剖复位。结论较之传统的手术径路,应用耳周小切口经腮腺径路治疗髁突中低位骨折具有切口小,操作简便,并发症少,能达到直视下进行手术的目的。Objective To determine the methods and efficiency of surgical treatment-using a periauricular, transparotid ap- proach for mandibular condylar fractures. Methods Thirty cases of condylar fractures on both sides of the mandible were retro- spectively reviewed. The fractures were treated surgically with a periauricular transparotid approach using miniplates and screws for fixation. Patients were followed up 6-36 months postoperatively. Appearance, occlusion, maximum mouth opening, com- plications and imaging examinations were used in evaluating the postoperative results. Results All patients showed good occlu- sion and satisfied appearance. Complications were seldom seen except that one case had transient facial nerve palsy, and one case showed salivary fistula. The maximum mouth opening was 4.2 cm, the minimum was 3.3 cm. Postsurgical CT scan showed that all condyles were anatomically reducted. Conclusion Compared with traditional approaches, periauricular transpa- rotid approach offers minimum invasion, less complications, direct approaches, and it is also easy to operate.

关 键 词：髁突 骨折 穿腮腺径路 

分 类 号：R782.4[医药卫生—口腔医学]