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论文摘要

脱位性髁突矢状骨折手术治疗的近期疗效观察

Surgical Tr eatment of Dislocation Sagittal Fr actur e of the Mandibular Condyle

作者:景捷;赵洪伟;孙钢;夏辉;李龙江

Author:JING Jie, ZHAO Hong- wei, SUN Gang, XIA Hui, LI Long- jiang

收稿日期:2007-02-25          年卷(期)页码:2007,25(01):58-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:下颌骨髁突,矢状骨折,游离再植,坚固内固定,

Key words:mandibular condyle,sagittal fracture,free grafting,rigid fixation,

基金项目:

宁夏回族自治区卫生厅重点科研计划课题资助项目(W200648)

中文摘要

目的总结脱位性髁突矢状骨折(DSFMC)的手术治疗经验。方法将22例28侧DSFMC分型,总结各类型DSFMC的手术治疗方法,并对术前及术后6个月患者的咬合关系、最大张口度、张口偏斜、髁突术后形态等进行观察比较。结果①DSFMC以Ⅱ型骨折最多,占57%;其次为Ⅲ型骨折和Ⅰ型骨折,分别占25%和18%。②5侧Ⅰ型骨折均行骨折片摘除术;16侧Ⅱ型骨折中,9侧行骨折片游离再植加微型接骨板坚固内固定术,5侧行骨折片摘除,2侧切除髁突;Ⅲ型骨折中有5侧行骨折片游离再植加微型接骨板坚固内固定术,2侧行摘除骨碎片,修整髁突残端。③22例患者术后6个月平均张口度为33.9 mm,平均张口偏斜1.5 mm,均比术前明显改善(P

英文摘要

Objective To summarize the surgical treatment effects of dislocation sagittal fracture of the mandibular condyle (DSFMC). Methods Twenty- two cases of DSFMC were classified according to the fracture location and treated with surgery. The clinical and radiographic outcomes were contrasted before and after treatment. Results ① There were 18%, 57% and 25% cases of type Ⅰ, type Ⅱ and type Ⅲ DSFMC respectively. ②For type ⅠDSFMC, dislocation part of condyle was removed. For type Ⅱ DSFMC, nine dislocation parts of condyles were free grafting and rigid fixation, and five dislocation parts of condyles were removed. The whole condyle was resected because of ankylosis of TMJ in two cases. For type Ⅲ DSFMC, dislocation part was free grafting and rigid fixation in five condyles. The whole condyle was removed in two cases due to comminuted DSFMC. ③Postoperative mouth opening and mouth opening deviation were 33.9 mm and 1.5 mm respectively 6 months after the surgical treatment. There were significant improvement on mouth opening and mouth opening deviation than those before the surgical treatment(P

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