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目的:探讨经耳前腮腺径路治疗髁突中位骨折的方法。方法:回顾性分析经耳前腮腺径路治疗髁突中位骨折26例35侧的临床资料,记录术前、术后的腮腺涎漏、张口受限程度、面神经损伤及咬合紊乱等情况,通过术前、术后曲面断层片评估骨折复位与愈合状况。结果:全部病例手术过程顺利。手术时间平均(1.5±0.3)h;伤口一期愈合;全部病例均获得良好的咬合关系;3例出现涎瘘,经加压包扎后治愈;张口度恢复至3.5 cm。术后1~3个月复查曲面断层片显示骨折复位及愈合良好;4例出现暂时性面瘫,术后3~6个月复查面瘫症状消失。结论:经耳前腮腺小切口径路治疗髁突中位骨折可获得满意效果。
Objective: To explore the method of treating the condylar median fracture through the anterior parotid path. Methods: A retrospective analysis of the clinical data of 26 cases with condylar fracture treated by pre-anterior parotid path on the 35 side was performed. The preoperative and postoperative salivary leakage of the parotid gland, limited mouth opening degree, facial nerve injury and occlusion disorders were recorded. Preoperative and postoperative surface slices were evaluated for fracture reduction and healing. Results: All cases were successfully operated. The operation time averaged (1.5 ± 0.3) h. The wound was healed in one time. All the cases got a good occlusal relationship. The salivary fistula was found in 3 cases and cured after compression dressing. The mouth opening was recovered to 3.5 cm. 1 to 3 months after the review of the curved surface slice showed fracture reduction and healing well; 4 cases of temporary facial paralysis, 3 to 6 months after the review of facial paralysis symptoms disappear. Conclusion: The treatment of median condylar fractures through the parotid gland small incision approach can achieve satisfactory results.