外置式牵引器在陈旧性上颌骨骨折治疗中的应用  

Application of Rigid External Distractor in Treatment of Old Maxillary Fractures

作　　者：马晓辉[1] 刘谊[1] 张凯宇[1] MA Xiao-hui;LIU Yi;ZHANG Kai-yu(Department of Oral and Maxillofacial Surgery,School of Stomatology,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学口腔医学院颌面外科

出　　处：《口腔颌面外科杂志》2018年第3期162-165,共4页Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨外置式牵引器在陈旧性上颌骨骨折治疗中的应用。方法:应用外置式牵引器治疗8例(年龄16~45岁,中位年龄28岁)陈旧性上颌骨骨折患者,上颌骨Le Fort Ⅰ型截骨术后安装牵引器,每日牵引1 mm,分2次完成,牵引结束后固定4~5个月拆除牵引器。结果:经牵引成骨后,患者面型及咬合关系得到改善。结论:应用外置式牵引器牵引成骨是治疗陈旧上颌骨骨折的有效方法,且安全、简便,术后稳定性好,值得推广。Objective:To evaluate the effect of rigid external distractor(RED)in the treatment of old maxillary fractures.Methods:A total of 8 cases of old maxillary fractures were treated in this study,aged from 16 to 45 years(mean 28 years)Application of RED after Le Fort Ⅰ osteotomy.Distraction rhythm and rate was 0.5 mm twice a day.RED were removed at 4-5 months after distractions.Results:After distraction osteogenesis,patients resumed satisfied facial contour and occlusion.Conclusion:RED is an effective method in treatment of old maxillary fracture.

关 键 词：牵引成骨 外置式牵引器 陈旧性上颌骨骨折 

分 类 号：R782[医药卫生—口腔医学]