颌后入路治疗髁突颈部骨折

Retromandibular Approach for Condylar Neck Fracture Reduction

目的:探讨颌后入路治疗下颌骨髁突颈骨折的治疗方法及效果。方法:对23例单侧成人下颌骨中低位髁突颈骨折患者,经颌后入路,术中保护腮腺及面神经,行切开解剖复位坚强内固定术。结果:23例患者均取得良好解剖复位,无1例出现涎瘘,无1例出现面神经麻痹,咬合关系恢复良好,通过早期锻炼张口,均能恢复术前张口度,无关节强直出现。结论:颌后入路治疗下颌骨中低位髁突颈骨折,有术野暴露充分、操作方便、有效保护面神经及腮腺等优点。

Objective： To discuss the beneficiaries of a novel retromandibular approach for mandibular condyle neck fracture reduction. Methods： 23 patients were consisted in this study. Operative procedures without injury of parotid gland and facial nerve. Open anatomic reduction and rigid internal fixation were retained. Results： All 23 cases achieved good anatomic reduction, without occurrence of salivary fistula, facial palsy, and ankylosis. Occlusal relationship was in good recovery, and degree of mouth opening restored to preoperative level. Conclusion： Retromandibular approach is convenient and effective in condyle neck fracture reduction.