摘要
目的探讨应用下颌后联合下颌下切口在髁状突中低位骨折复位内固定术中的应用效果。方法回顾性分析38例(46侧)下颌骨髁状突中低位骨折患者采用下颌后联合下颌下切口,术中分离咬肌,暴露下颌支,将咬肌及腮腺向上翻起,显露骨折部位,直视下行髁状突骨折解剖复位内固定。结果术后通过咬合功能及影像学检查,效果满意,无严重并发症。结论下颌后联合下颌下切口可为髁状突中低位骨折切开复位内固定提供良好的视野,方便复位固定,值得临床推广。
Objective To investigate the effect of combined retromandibular and submandibular incision in reduction and internal fixation of middle and low-set condylar fracture. Methods Clinical data of 38 patients （46 sides） suffering from middle and low-set mandibular condylar fracture surgically treated were analyzed retrospectively. During operation, the fracture was exposed by detaching masseter muscle, for revealing the ramus of mandible, and flipped up the masseter muscle and parotid gland. Anatomic reduction and internal fixation of mandibular condylar fracture were performed under direct vision. Results Postoperative occlusal function and imaging examination showed satisfactory result without serious complications. Conclusion With advantages of good visualization and convenience, combined retromandibular and submandibular incision is worth clinical promoting in open reduction and internal fixation of middle and low-set mandibular condylar fracture.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2015年第4期310-312,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
下颌后联合下颌下切口
髁状突骨折
切开复位内固定
Combined retromandibular and submandibular incision
Condylar fracture
Open reduction and internal fixation
