儿童下颌骨骨折的治疗及愈后的临床研究  

Clinical study on treatment and recovery of children mandibular fracture

作　　者：刘淑妍[1] 师俊莉[1] 刁建升[1] 舒茂国[1] 薛萍[1] 

机构地区：[1]第四军医大学西京医院全军整形外科研究所,陕西西安710032

出　　处：《中国美容整形外科杂志》2014年第11期660-662,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的：评价手术坚强内固定在儿童下颌骨骨折中的临床效果。方法对28例下颌骨骨折患儿应用紧贴下颌下缘上方的小型钛板双皮质固定＋单颌牙弓夹板固定手术切开复位内固定术。结果28例患儿下颌骨骨折均获得良好的解剖复位，骨折Ⅰ期愈合，面形、开口型均正常，张闭口活动正常，口内咬牙合关系良好，未见骨折部位恒牙萌出异常，患儿无不良反应。结论儿童下颌骨骨折采用紧贴下颌下缘上方的小型钛板双皮质坚固内固定联合牙弓夹板固定术，避免了下颌骨张力带钛板固定对恒牙胚的损伤和下颌骨应力带的扭转，不影响颏顶弹性帽固定对下颌的制动。患儿早期即可进食和进行功能锻炼，减少并发症的发生，对下颌骨的整复固定和功能恢复效果良好。Objective To assess the clinical effect of surgical reposition and rigid internal fixation for the treatment of children mandibular fracture.Methods Twenty-eight cases of children mandibular fracture were repaired by open reduction and internal fixation of application of the small cortical titanium plate fixed double cortex of close to the top of the lower edge of the mandible＋ single jaw arch splint fixation.Results Twenty-eight cases of children with mandibular fractures had received good anatomic reduction and primary healing of fracture with normal face,open type,open-closed activities and good intraoral occlusal relationship. There were no abnormal eruption of permanent teeth fracture site and discomfort.Conclusion Children man-dibular fractures were corrected by a small titanium plate internal fixation combined with dual cortex sturdy arch splint fixation close to the lower edge of the upper jaw which avoid tension with titanium plate fixation of mandibular permanent tooth damage,stress torsional of mandibular and on the chin on the top elastic cap fixed jaw braking,the children can eat and early functional exercises to reduce the inci-dence of complications of mandibular fixed restoration and functional recovery to good effect.

关 键 词：牙弓夹板 小型钛板 下颌骨骨折 

分 类 号：R782.2[医药卫生—口腔医学]