钛板外固定+牵引钉腭部横向牵引治疗新鲜上颌骨矢状骨折的应用  

Treatment of fresh sagittal maxillary fractures with the application of external fixation via mini-plate system and transversal traction via palatal implants

作　　者：陈虹瑜 曲竹丽 张梅 王昭领 CHEN Hongyu;QU Zhuli;ZHANG Mei;WANG Zhaoling(Shandong Provincial Key Laboratory of Oral Tissue Regeneration,Jinan 250012,China)

机构地区：[1]山东省口腔组织再生重点实验室,山东济南250012 [2]山东省口腔生物材料与组织再生工程实验室,山东济南250012 [3]山东大学齐鲁医学院口腔医学院·口腔医院急诊科,山东济南250012 [4]山东医学高等专科学校口腔系,山东济南250002 [5]山东大学齐鲁医学院口腔医学院·口腔医院颌面外科,山东济南250012

出　　处：《口腔医学》2021年第1期59-62,共4页Stomatology

摘　　要：目的探讨一种操作较为简便、治疗过程更为舒适可靠的治疗新鲜上颌骨矢状骨折的方法。方法于硬腭部裂隙两侧植入牵引钉行横向弹性牵引复位骨折,恢复咬合关系,以小型钛板行穿黏膜骨折外固定,然后拆除牵引钉,1个月后拆除外固定钛板。结果该方法用于新鲜上颌骨矢状骨折复位良好,术后易于保持口腔卫生及行使口腔功能。结论该方法简单易行,效果可靠,舒适度高,值得临床推广。Objective To explore a more convenient and reliable method for the treatment of fresh sagittal maxillary fractures.Methods The fractured fragments were medially transversal distracted and reduced by palatal implants which were located in both sides of fr-acture line.Then a min-plate was contoured to the palatal vault and fixed to the palate as external fixator via transmucosa method.After that,palatal implants were removed.The mini-plate stayed in situ for a month to maintain the stability of fractured fragments and was then removed.Results This method was efficient for the treatment of fresh sagittal maxillary fractures and made it possible to maintain good oral hygiene and function.Conclusion This method is simple,reliable,comfortable and worthy of clinical promotion.It is suitable for relatively simple sagittal maxillary fractures.

关 键 词：面部创伤 上颌骨矢状骨折 骨折外固定 闭合复位 

分 类 号：R782.4[医药卫生—口腔医学]