小型钛夹板沿张力带固定治疗髁状突骨折24例

目的:探讨髁状突骨折小型接骨板沿张力带固定的技术要点和并发症发生的原因。方法:根据髁状突骨折的类型选择耳屏前入路或颌后入路,显露骨断端,解剖复位后沿髁颈后缘作张力带固定,对髁颈下严重移位的病例需在髁颈前或乙状切迹处增加补偿固定。结果:27处髁颈骨折经复位固定后,咬牙合关系恢复,术后即可开口进食半流质食物。术后复查放射线片提示骨折段对位对线良好,固定稳定。其中7处髁颈骨折术后出现不同程度的面瘫症状,经治疗,面瘫症状消失。结论:解剖复位小型接骨板沿张力带固定治疗髁状突骨折复位准确,固定可靠,安全。合理选择手术适应症和规范的手术操作是避免手术并发症的关键。

24 cases of the condylar fractures were treated by miniplate rigid internal fixation along the strain belt of mandible

Objective To discuss the point of this method that condylar fractures treated by rigid internal Fixation(RIF)along the strain belt of mandible and analysis the reasons of complication.Method According to the classify of condylar fractures,We choice the ways of incision whether retromandibular or antetragus.24 Cases of the madibular fractures were treated by RIF along the strain belt of mandible.Results All of the patients' occluding relation were recovered after surgical treatment.The X-Ray pictures manifested that fracture pieces were recoveried.7 had the symptom of facial nerve damages,the symptom disappeared after treatment.Conclusion Our findings indicate that the approach of the rigid internal fixation along the strain belt of mandibular is an effective and safe technique to treat the mandibular fractures.Regular(RIF)operation and reasonable choice of therapy is needed to avoid complications.