摘要
Abstract
Objective:To ivstigate the efficacy and modality of surgical treatment in condyar fractures.Method:45 patients (the ages between 16 to 65)with condyar fractures were included in this study.We all used the Behind mandibular incision which were 4cra long.Slit the skin, subcutaneous tissue, and then peeled the skin flap by sneaking on the surface of the parotid fascia sheath.Use the retractor to touch the flap, then slit the Parotid fascia sheath.Infront the place between the tragus to ear lobe.Use the fenestration to blunt dissection parotid in deep.Draw the facial nerve,pefiosteal incision behind the masseter muscle, reduction the condyle stump and wing muscles anatomicaly., and fixed with titanium plate.Finally,flushing joint cavity,suture periosteum and joint capsule incision tightly, Intracystic injection 2.0mi hyaluronic acid.We would give the patients functional exercise in early postoperative.Result:After 6 months-4 years of follow-up study,all the patients had fracturess healed and facial symmetry.Ringent distance was about 3.0～3.7 cra, Ringent shape was normal.Fully satisfactory of occluding relation in 42 cases,and basically satisfied in 3 cases.; Fully satisfactory of masticatory function in 41 cases,and basically satisfied in 4 cases; 1 case emerge postoperative infection,but healed by the incision,drainage,and anti-inflammator; 2 cases emerge facial nerve dysfunction, but restored completely after 2 months.1 case emerge symptoms of Joint snapping, Improved after the treatment.Conclusion: We try to use the open surgery in the treatment of adult condyar fractures, and our surgical treatment of condylar fractures is one of the better methods.关键词
髁状突骨折/下颌后切口/腮腺开窗/钛板固定/功能锻炼Key words
condylar fractures/ behind mandibular incision/ parotid fenestration/ titanium plate/ functional exercise分类
医药卫生
