论文部分内容阅读
目的：本文通过对一组颌骨骨折病例的研究，评价了小型钛板坚固内固定技术的可靠性及术后效果。方法：37例患者55处颌骨骨折行小型钛板坚固内固定。结果：37例患者术后伤口均无感染，Ⅰ期愈合：35例恢复术前咬合关系，仅2例出现局部咬合不良。术后开口度≥37mm者34例。结论：颌骨骨折的小型钛板坚固内固定技术固定效果可靠，避免了颌间结扎；对颞下颌关节功能影响小；口内手术入路避免了口外法复位而造成面部皮肤瘢痕形成；较传统的颌骨骨折颌间结扎固定及钢丝拴扎固定有明显优点。
OBJECTIVE: This study evaluated the reliability and postoperative outcome of a series of mandibular fracture fixation cases using a small titanium plate internal fixation technique. Methods: Fifty-five patients with maxillofacial fractures of mandibular plate were fixed with a small titanium plate in 37 patients. Results: All the 37 patients had no wounds after operation. The first-degree healed wounds: 35 cases recovered the preoperative occlusion, and only 2 cases had partial occlusion. Postoperative openness ≥ 37mm in 34 cases. Conclusion: The small internal fixation with titanium plate fixation is reliable and avoids intermaxillary ligation. It has little effect on the function of temporomandibular joint. The intraoral surgical approach avoids the reduction of facial skin scar caused by the reduction of oral surgery. Jaw fracture intermaxillary ligation fixation and wire tethering fixation has obvious advantages.