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经腮腺入路复位固定下颌骨骨折
引用本文:李凤和,冯良,薛毅,赵然.经腮腺入路复位固定下颌骨骨折[J].中国口腔颌面外科杂志,2010,8(1):95-96.
作者姓名:李凤和  冯良  薛毅  赵然
作者单位:石家庄市白求恩国际和平医院,口腔科,河北,石家庄,050081
摘    要:目的:探讨经腮腺入路行髁突低位骨折和下颌支骨折切开复位内固定的可行性。方法:对22例低位髁突骨折和4例下颌支骨折采用经腮腺入路行切开复位内固定术。结果:26例(100%)均使用2块接骨板固定,26(100%)例咬合关系基本恢复到伤前情况,术后开口度26~48mm(平均38.3mm)。2例(8%)出现面神经颊支损伤症状,3个月内均恢复正常,未出现面神经永久损伤病例及涎漏等并发症。结论:经腮腺人路行髁突低位骨折和下颌支骨折解剖复位坚强内固定,视野暴露好,复位固定可靠,面神经损伤较少。

关 键 词:髁突骨折  经腮腺入路  坚强内固定

Transparotid approach for open reduction and internal fixation of mandibular fractures
LI Feng-he,FENG Liang,XUE Yi,ZHAO Ran.Transparotid approach for open reduction and internal fixation of mandibular fractures[J].China Journal of Oral and Maxillofacial Surgery,2010,8(1):95-96.
Authors:LI Feng-he  FENG Liang  XUE Yi  ZHAO Ran
Institution:LI Feng -he,FENG Liang,XUE Yi,ZHAO Ran.(Department of Stomatology,PLA Bethune International Peace Hospital.Shijiazhuang 050081,Hebei Province,China)
Abstract:PURPOSE:To study the feasibility of transparotid approach for open reduction and internal fixation of mandibular fractures.METHODS:Twenty-two patients with lower condylar fractures and four with mandibular ramus fractures were treated with transparotid approach for open reduction and internal fixation.RESULTS:Twenty-six patients(100%)fixed with two plates,postoperative occlusion recovered to the pretraumatic condition and postoperative maximal mouth opening was 26-48mm(mean 38.3 mm).Temporary weakness of th...
Keywords:Condylar process fractures  Transparotid approach  Rigid internal fixation  
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