华西口腔医学杂志2011，Vol.29Issue(3)：279-281,285,4.DOI:10.3969/j.issn.1000-1182.2011.03.015
经咬肌颌后入路治疗髁突中低位骨折
Transmasseter approach to mid-and-low condylar fractures by mini-retromandibular access
王科 1彭国光 1丁旭宣 1吴俊伟 1严鑫 1谢建雅1
作者信息
- 1. 佛山市中医院,口腔颌面外科,佛山,528000
- 折叠
摘要
Abstract
Objective To explore a new access for internal rigid fixation of mandibular mid-and-low condylar fracture. Methods 16 patients of unilateral mid-and-low condylar fractures were treated with a 2 cm mini-retromandibular approach. The subcutaneous tissues superficial to the superficial muscular aponeurotie system (SMAS) were dissected forward that parallel to the masseter muscle fiber bundles, aiming to the fracture. After exposing the fracture, the fracture segments were reduced and fixed under sufficient exposure. Results Correct anatomic reduction and occlusion were achieved in all cases. Additionally, all patients showed normal articular function and the surgical scars were barely visible. Conclusion The transmasseter approach by retromandibular access is one of the feasible methods for curing mid-and-low condylar fracture, which minimizeing the risk of facial nerve injury and reducing the visible scars.关键词
下颌骨髁突/坚强内固定/手术入路Key words
mandibular condyle/ rigid internal fixation/ surgical access分类
医药卫生引用本文复制引用
王科,彭国光,丁旭宣,吴俊伟,严鑫,谢建雅..经咬肌颌后入路治疗髁突中低位骨折[J].华西口腔医学杂志,2011,29(3):279-281,285,4.
