3种不同手术入路治疗成人髁突骨折效果分析

目的:探讨成人髁突骨折3种不同手术入路的临床疗效.方法:46例共48侧成人髁突骨折按Loukota等标准分类,根据分类分别采用耳屏前入路、颌后穿腮腺入路及口内入路进行复位内固定.结果:46例患者术后下颌运动及咬合关系恢复良好,开口度基本正常,骨折复位及愈合良好,髁突未见明显吸收.结论:根据成人髁突不同骨折类型,灵活采用...

Used of three different approaches for surgical treatment of adult condylar fracture

PURPOSE: This study aimed to evaluate and compare clinical outcomes of three different surgical approaches for adult condylar fractures. METHODS: A total of 46 cases with 48 fracture sites were classified according to the standard of Loukota et al. Condylar fractures of the mandible were managed by open reduction and internal fixation via anterior auricular, retromandibular incision through parotid gland and transoral surgical approaches based on the classification. RESULTS: Dental occlusion,mandibular movement,mouth opening,and anatomic reduction were restored in all 46 patients with condylar fractures. No patient showed condylar head resorption. CONCLUSIONS: Different surgical approaches can achieve satisfactory outcomes according to different types of adult condylar fractures.