临床口腔医学杂志2016，Vol.32Issue(2)：92-93,2.DOI:10.3969/j.issn.1003-1634.2016.02.010
经耳前腮腺小切口径路治疗髁突中位骨折
Premenstrual ears parotid incision approach in the treatment of mandibular condylar fractures
李击 1徐友良 2刘正祥 1肖军1
作者信息
- 1. 黄冈市中心医院口腔科 湖北 黄冈 438000
- 2. 团风县人民医院口腔科 湖北 团风 438000
- 折叠
摘要
Abstract
Objective:To evaluate the effects of pre-auricular parotid gland approach in the treatment of mandibular condylar neck fracture. Method:Clinical data of patients with mandibular condylar neck fracture (26 patients,35 temporo-mandibular joints) were collected and analyzed retrospectively. The clinical information of pre-and post-operative parotid salivary fistula,limited mouth opening,facial nerve injury and malocclusion was recorded respectively. Meanwhile,pre- and post-operative panoramic images were used to evaluate the reductive and healing state of the fractures. Result:All the op-erations were uneventful, with an average operation time 1.5 hours,(mean ±SD,1.5 ±0.3). The wound healed well and a good occlusion was achieved in all the patients. Parotid salivary fistula occurred in 3 patients after operation , but disap-peared after pressure dressing. A mouth opening over 3.5cm was achieved in all the patients. The post-operative panoramic images (1~3 months later) showed the fracture reduction and healing was good. Facial paralysis occurred in four patients after operation, but disappeared 3~6 months later. Conclusion:The effects of pre-auricular parotid gland approach in the treatment of mandibular condylar neck fracture are satisfactory.关键词
髁突骨折/切开复位内固定Key words
Condylar fracture/Open reduction and internal fixation分类
医药卫生引用本文复制引用
李击,徐友良,刘正祥,肖军..经耳前腮腺小切口径路治疗髁突中位骨折[J].临床口腔医学杂志,2016,32(2):92-93,2.
