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下颌后小切口结合肿胀分离技术在髁突低位骨折内复位固定术中的应用

周剑虹 许振华 任常群 王文峰 黄欣

中国美容医学2012,Vol.21Issue(4):573-575,3.
中国美容医学2012,Vol.21Issue(4):573-575,3.

下颌后小切口结合肿胀分离技术在髁突低位骨折内复位固定术中的应用

Application of open reduction and internal fixation on low condylar fractures by mini-retromandibular approach combined with tumescent separation technique

周剑虹 1许振华 1任常群 1王文峰 1黄欣1

作者信息

  • 1. 南京军区解放军第180医院口腔颌面外科,福建,泉州,362000
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摘要

Abstract

Objective To evaluate the clinical results of open reduction and internal fixation on low condylar fractures using a mini -retromandibular approach combined with tumescent separation technique. Methods A mini -retromandibular incision was performed for 36 patients with low condylar fracture.The subcutaneous tissue flaps were dissected to masseter muscle after operating field were infiltrated with tumescent solution.the masseter muscle fibres were then blunt dissected paralleling the facial nerve fibres. The fracture field was expoesed and identified,and the straightforward reduction and internal fixation of condylar fractures were performed. Results Through clinical and radiologic postoperative examinations, satisfactory results were obtained with no serious complications such as facial nerve injury.The surgical scars were barely noticeable. Conclusion Combined with subcutaneous tumescent solution infiltration technique.the mini-retromandibular access proved to be a safe.convenient.and cosmetic approach which has been routinely performed in our department.

关键词

手术切口/髁突骨折/切开复位内固定术

Key words

surgical approach/condylar fracture/open reduction and internal fixation

分类

医药卫生

引用本文复制引用

周剑虹,许振华,任常群,王文峰,黄欣..下颌后小切口结合肿胀分离技术在髁突低位骨折内复位固定术中的应用[J].中国美容医学,2012,21(4):573-575,3.

中国美容医学

1008-6455

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