两种颌后切口入路治疗下颌骨髁突骨折的比较研究  

Two retromandibular approachs for condylar neck fracture reduction

作　　者：辛江波 袁渭 兴辰 李东振 

机构地区：[1]河北省眼科医院口腔外科,河北邢台054001

出　　处：《中国美容医学》2015年第13期35-37,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨两种颌后入路治疗下颌骨髁突颈骨折的治疗效果。方法:68例成人下颌骨中低位髁突颈骨折患者,随机分为A、B两组,经颌后入路,分别采用腮腺前缘入路及腮腺后下极入路,解剖复位髁突骨折行坚强内固定术。结果:68例患者均取得良好解剖复位,咬合关系恢复良好,无关节强直出现。A组2例出现面神经麻痹。B组1例出现涎瘘,4例出现面神经麻痹症状。结论:颌后入路可有效治疗髁突骨折,且腮腺前缘入路较腮腺后下极入路减少了手术并发症的发生。Objective To discuss the two beneficiaries of a novel retromandibular approach for mandibular condyle neck fracture reduction. Methods 68 patients were consisted in this study.34 patients were treated with Parotid gland after Approach,the other 34 patients were treatd with Parotid gland front Approach. Results All 68 cases achieved good anatomic reduction,occlusal relationship was in good recovery,and degree of mouth opening restored to preoperative level.A team had two patients facial nerve injury,B team had four parients facial nerve injury.and one patients Salivary fistula. Conclusion Retromandibular approach is convenient and effective in condyle neck fracture reduction. And Parotid gland front Approach reduce the surgical complications.

关 键 词：下颌骨髁突颈部骨折 颌后入路 解剖复位 并发症 

分 类 号：R782[医药卫生—口腔医学]