两种入路治疗髁突颈部骨折的临床效果分析  

Two Approachs for Condylar Neck Fracture Reduction

作　　者：贾晓宁 邢达源[1] 王小娟 刘浩 王晓萍[1] 林欢 成洲[1] 

机构地区：[1]青岛大学附属烟台毓璜顶医院,山东烟台264000

出　　处：《全科口腔医学电子杂志》2017年第7期1-2,6,共3页Electronic Journal of General Stomatology

摘　　要：目的探讨面神经颞颈面干间入路或颌后入路治疗髁突颈部骨折的临床效果。方法通过面神经颞颈面干间(A组,n=20)和颌后(B组,n=20)入路进行髁突颈部骨折复位内固定术,术后观察治疗效果。结果所有患者均达到骨折解剖复位良好,颞下颌关节功能恢复正常,A组平均手术时间为80 min,术后2例出现暂时性涎瘘。B组平均手术时间为90 min,术后3例出现暂时性涎瘘,3例出现面瘫症状。结论两种入路均能有效治疗髁突颈部骨折,但面神经颞颈面干间入路较颌后入路缩短了手术时间,减少了手术并发症的发生。Objective To discuss the effect of the two approachs for treating condylar neck fractures, named approach between temporal stem and cervical stem of facial nerve（group A,n=20） and the retromandibular approach （group B,n=20）,respectively. Methods 20 cases with condylar neck fractures were treated through the gap between temporal stem and cervical stem and 20 cases with condylar neck fractures were treated by retromandibular approach. The therapeutic efect was observed after operation. Results All the patients achieved good anatomic reduction, and the function of temporomandibular joint recovered .The average operation time of group A was 80 min, The average operation time of group B was 90 min.2 cases had temporary salivary fstula in group A after operation. 3 cases had temporary salivary fstula and 3 cases had facial paralysis in group B after operation . Conclusion The two approachs are efective for condylar neck fracture .In contrast with retromandibular approach,approach between temporal stem and cervical stem of facial nerver reduces the surgical complications.

关 键 词：髁突颈部骨折 颞颈面干间入路 颌后入路 

分 类 号：R782.4[医药卫生—口腔医学]