口腔颌面外科杂志2025，Vol.35Issue(5)：391-395,5.DOI:10.12439/kqhm.1005-4979.2025.05.008
耳屏缘内侧隐蔽切口联合外耳道软骨前缘入路在髁突矢状骨折中的应用
Application of a concealed pre-tragal incision combined with a trans-cartilaginous approach for sagittal condylar fractures
摘要
Abstract
Objective:To explore the clinical efficacy of a concealed pre-tragal incision combined with a trans-cartilaginous approach in the treatment of sagittal fracture of the mandibular condyle.Methods:A retrospective analysis was performed on the clinical data of 40 patients with mandibular condylar fracture admitted to Tangshan Second Hospital from January 2021 to June 2023.All patients underwent rigid internal fixation via the concealed pre-tragal incision combined with a trans-cartilaginous approach.They were systematically followed up for 6 months postoperatively.Evaluation indicators included mandibular movement function(occlusal relationship,maximum mouth opening,mouth opening pattern),facial nerve function,imaging findings,postoperative complications(abnormal pain,infection,salivary fistula,Frey syndrome,great auricular nerve paresthesia),and patient satisfaction with the appearance of the incision.Results:All patients achieved good recovery of occlusal relationship.At 6 months after surgery,the maximum mouth opening reached(38.50±1.65)mm,which was significantly increased compared with that before surgery(P<0.001),and the mouth opening pattern showed no deviation.Postoperatively,only 1 case(2.5%)exhibited transient forehead wrinkle shallowing,which recovered after drug treatment,and no permanent facial nerve injury occurred.Imaging examination showed that all patients achieved anatomical reduction,the internal fixation was in good position,and the fracture healed satisfactorily.No complications occurred in any patient during the follow-up period.The patient satisfaction score with the appearance of the incision was 10 points(full score),with a satisfaction rate of 100%.Conclusion:The concealed pre-tragal incision combined with the trans-cartilaginous approach for the treatment of sagittal fracture of the mandibular condyle offers the advantages of minimal trauma,few complications,and excellent aesthetic outcomes,making it a safe and effective surgical option.关键词
耳屏缘内侧隐蔽切口/髁突矢状骨折/外耳道软骨前缘入路/治疗效果/坚固内固定Key words
concealed pre-tragal incision/sagittal condylar fracture/pre-cartilaginous approach/treatment outcomes/rigid internal fixation分类
口腔医学引用本文复制引用
许晓亮,孙倩,崔夏青..耳屏缘内侧隐蔽切口联合外耳道软骨前缘入路在髁突矢状骨折中的应用[J].口腔颌面外科杂志,2025,35(5):391-395,5.基金项目
河北省卫生厅科研基金项目重点科技研究计划(20231736) （20231736）
