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翼外肌-髁状突骨折开放手术功能恢复的关键

徐兵 姚隆浩 唐友盛 史俊 王旭东 杨驰

口腔颌面外科杂志2001,Vol.11Issue(1):26-29,4.
口腔颌面外科杂志2001,Vol.11Issue(1):26-29,4.

翼外肌-髁状突骨折开放手术功能恢复的关键

LATERAL PTERYGOID MUSCLE, THE KEY FACTIOR OF THE SUCCESS OF THE OPENING OPERATION FOR THE FRACTURED CONDYLAR

徐兵 1姚隆浩 1唐友盛 1史俊 1王旭东 1杨驰1

作者信息

  • 1. 上海第二医科大学附属第九人民医院口腔颌面外科
  • 折叠

摘要

Abstract

Objective To compare and analysis the differe nt functi onalrecovery of the fractured condyle after the two different opening operation s: anatomic reduction of the fractured condyle and the liberation reduction of t he fractured condyle. Methods 18 patients, 24 unilateral condylar fractures were treated in our department between January 1997 and October 1999. All the p atients were diagonsed through history, physical examination, radiographs, compu ted tomography scan and three-diemational reconstruction of a computed tomograp y scan. All the patient were divided into two groups, and the dislocated condyle s were reducted with two different ways: anatomic reduction and liberation reduc tion. Postoperatively, we compare and analysis the function and the mophorlogy o f the two groups of condyle. Results After treatment, we assessed the function on the aspects of anatomic mophorlogy, occlusion and the deviation on opening. The result of the patients treated with the anatomic reduction are much better than the other pati ents, especially on the aspoect of deviation on opening. Discussion The anatomic reduction of the dislocated condyle not onl y could increase the rate of operation success and decrease the possibility of t he absorbance of the condyle, but best recover the mastication function. it is u seful in clinical applying.

关键词

髁状突/骨折/坚强内固定/翼外肌复位

分类

医药卫生

引用本文复制引用

徐兵,姚隆浩,唐友盛,史俊,王旭东,杨驰..翼外肌-髁状突骨折开放手术功能恢复的关键[J].口腔颌面外科杂志,2001,11(1):26-29,4.

口腔颌面外科杂志

1005-4979

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