摘要
对34例下颌骨多发性骨折采用小型钢板经口内进路按 Champy 理想线固定,辅助短期颌间固定,本组病例术后经 X 线摄片检查和临床随诊观察,全部达到良好复位固定和1期愈合,2例出现切口处软组织感染;未发现咬合错乱、骨折延迟愈合和手术造成神经或牙齿损伤等并发症。提示用小型钢板单层骨皮质固定治疗下颌骨多发性骨折,方法简便,效果可靠。
This retrospective study involved 34 patients with multiple mandibular tractures.Mono- cortical miniplates were used for fixation of fractures followed by a short term intermaxillary fixation. All the patients were evaluated radiographically and clinically.The results indicated that all fractures healed uneventfully.No malocclusion,delayed union,injury of the nerves or teeth due to the procedure were found.We concluded that monocortical miniplate osteosynthesis is effective and reliable for multi- ple mandibular fractures,and a short term intermaxillary fixation is helpful for the healing of fracture.
