利用改良巾钳进行解剖复位治疗高位髁突骨折

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (5): 456-459.

利用改良巾钳进行解剖复位治疗高位髁突骨折

黄伟城, 吴泽键, 陈伟生

普宁市人民医院口腔科,广东普宁 515300

收稿日期:2014-08-11 修回日期:2014-12-01 出版日期:2015-10-20 发布日期:2015-11-03
通讯作者: 黄伟城,Tel：0663-2839652,
作者简介:黄伟城(1981-),男,硕士研究生,主治医师

Anatomical reduction of high condylar fractures by using a modified towel

forceps HUANG Wei-cheng, WU Ze-jian, CHEN Wei-sheng

Department of Stomatology, People's Hospital of Puning. Puning 515300, Guangdong Province, China

Received:2014-08-11 Revised:2014-12-01 Online:2015-10-20 Published:2015-11-03

摘要/Abstract

摘要： 目的：评价利用特制巾钳辅助复位,治疗高位髁突骨折的疗效。方法对28例高位髁突骨折患者经耳前进路行髁突解剖复位,术中保留骨折端的翼外肌附着,用微型钛板及螺钉固定,6个月后进行临床疗效评估和影像学观察。结果2例患者出现轻度开口受限,1例出现开口偏斜,3例出现关节弹响。术后6个月临床评价治愈率达78.6%,影像学评价治愈率达92.8%。结论利用特制巾钳进行髁突高位骨折解剖复位,避免了术后髁突吸收及畸形改变,有利于颞下颌关节功能的恢复。

关键词: 髁突骨折, 解剖复位, 巾钳

Abstract: PURPOSE:To evaluate the clinical effects of anatomic reduction of high condylar fractures by using a modified towel forceps. METHODS: Twenty-eight patients with high condylar fractures were treated with anatomic reduction and internal fixation. All cases were evaluated by clinical examination and imaging examination 6 months after operation. RESULTS: Two patients had limited mouth opening, one patients developed mandible deviation during mouth opening, and 3 patients presented joint clicking symptom, no absorption or deformation of the condylar process was found by imaging examination 6 months postoperatively. The cure rate by clinical examination was 78.6%, and 92.8% by imaging examination. CONCLUSIONS: Anatomic reduction of high condylar fractures by using a modified towel forceps is an useful method. It can reduce the incidence of absorption and deformity of the condyle, and help to restore the function of the temporomandibular joint.

Key words: Condylar fracture, Anatomic reduction, Towel forceps

黄伟城, 吴泽键, 陈伟生. 利用改良巾钳进行解剖复位治疗高位髁突骨折[J]. 上海口腔医学, 2015, 24(5): 456-459.

forceps HUANG Wei-cheng, WU Ze-jian, CHEN Wei-sheng. Anatomical reduction of high condylar fractures by using a modified towel[J]. Shanghai Journal of Stomatology, 2015, 24(5): 456-459.

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