双板坚固内固定在髁突骨折手术中的应用及效果评价  

Application and effective evaluation of rigid internal fixation with double plates in condylar fracture

作　　者：薛浩伟[1] 后军[1] 杨文宇[2] 刘金丽[3] 胡玉坤[1] 孙明[1] 

机构地区：[1]安徽医科大学第一附属医院口腔颌面外科,合肥230022 [2]安徽医科大学第二附属医院口腔颌面外科,合肥230601 [3]安徽省立医院皮肤科,合肥230001

出　　处：《华西口腔医学杂志》2014年第6期575-577,共3页West China Journal of Stomatology

基　　金：安徽省科技厅2013年度重点科技基金资助项目(130104-3050)

摘　　要：目的探讨双板坚固内固定在下颌骨髁突骨折手术中的应用及效果评价。方法对28例下颌骨髁突骨折患者行2块钛板坚固内固定术,术后随访拍摄全景片或三维CT,对患者的咬合关系、张口度、张口型、钛板及骨折情况等进行评价。结果 28例患者术后骨折固位良好;咬合关系、张口度、张口型恢复正常;无1例出现钛板变形或断裂、骨折移位;2例出现面神经轻度瘫痪,予以神经营养药物治疗后,3月内恢复正常;2例术后1月出现颞颌关节弹响,取出钛板后好转。结论双板坚固内固定治疗下颌骨髁突骨折是一种较为理想的方法。Objective This study aims to explore and evaluate internal fixation with double titanium plates in mandibular condylar fracture.Methods Twenty-eight patients with mandibular condylar fracture were treated by rigid internal fixation with double titanium plates.The effects of the treatment on occlusion,mouth opening,and titanium plate rupture were evaluated by pantomograms or 3D CT.Results Good retention was observed in all 28 patients with mandibular condylar fracture.Occlusion and mouth opening returned to normal.None of the patients experienced titanium plate rupture or fracture displacement.Two patients suffered from mild facial nerve injury but recovered within 3 months after neurotrophic drug treatment.Two patients suffered from temporo-mandibular joint disease but improved after plate removal.Conclusion Rigid internal fixation with double titanium plates is an ideal treatment for mandibular condylar fracture.

关 键 词：髁突骨折 坚固内固定 双钛板 

分 类 号：R782.4[医药卫生—口腔医学]