| 耳周切口治疗髁突颈部骨折 |
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| 引用本文： | 袁灏,史俊,唐友盛,徐兵,沈国芳.耳周切口治疗髁突颈部骨折[J].口腔颌面外科杂志,2012,22(1):33-36. |
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| 作者姓名： | 袁灏 史俊 唐友盛 徐兵 沈国芳 |
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| 作者单位： | 上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面外科;上海市口腔医学重点实验室,上海200011 |
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| 基金项目： | 上海市重点学科建设项目，上海交通大学医学院基金，上海交通大学"医工交叉"研究基金 |
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| 摘 要： | 目的:介绍一种新的治疗髁突颈部骨折的手术入路。方法:通过改良的耳周小切口,经腮腺入路,对31例36侧髁突骨折行小型钛板坚强内固定术。术后随访3个月,从患者的开口度、咬合关系、面神经功能和影像学检查等方面进行疗效分析。结果:31例患者中,2例出现暂时性面神经功能不全,所有患者均咬合关系良好,张口度最大者4.8 cm,最小者3.0 cm,平均张口度4.0 cm,无张口偏斜。术后3个月CT显示所有患者髁突均完全解剖复位。结论:较之传统手术切口,改良的腮腺入路切口隐蔽,手术创伤小,利于面神经保护,且能达到髁突骨折解剖复位和坚强内固定的要求。
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| 关 键 词： | 髁突 骨折 手术入路 |
A Modified Periauricular Approach in the Treatment of Fracture of Mandibular Condyle |
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| YUAN Hao
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SHI Jun
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TANG You-sheng
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XU Bing
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SHEN Guo-fang.A Modified Periauricular Approach in the Treatment of Fracture of Mandibular Condyle[J].Chinese Journal of Oral and Maxillofacial Surgery,2012,22(1):33-36. |
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| Authors: | YUAN Hao SHI Jun TANG You-sheng XU Bing SHEN Guo-fang |
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| Institution: | (Department of Oral and Maxillofacial Surgery,College of Stomatology,the Ninth People＇s Hospital, School of Medicine,Shanghai Jiaotong University,Shanghai Key Laboratory of Stomatology, Shanghai 200011,China) |
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| Abstract: | Objective： To introduce a novel modified periauricular approach and rigid internal fixation in treating condylar fractures.Methods： 36 condylar fractures were retrospectively reviewed.Occlusion,maximum mouth opening,facial nerve function and 3D-CT were used in evaluating the postoperative results.Results： All patients showed good occlusion and maximum mouth opening.No symptom of facial nerve injury occurred.CT scans revealed that all condyles were anatomically reducted.Conclusion： Compared with traditional approach,modified periodic transparotid approach has minimum invasion.The modified incision is concealed and feasible for facial nerve protection.The condyle can also be anatomical reducted with rigid internal fixation. |
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| Keywords: | condyle fracture surgical approach |
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