儿童下颌骨髁突骨折的治疗进展

Prospects on the treatment of mandibular condylar fractures in children

儿童髁突骨折是常见的骨折类型之一,占下颌骨骨折的40%~67%。对儿童髁突骨折治疗方法的选择一直存在着争议,仍无统一观点。治疗方法一般分为闭合性治疗和开放性复位。由于儿童髁突骨折的特点,其治疗结果会影响下颌骨和颌面部的发育。此外,治疗导致的并发症如颞下颌关节紊乱或强直等也是目前争论的焦点。本文通过回顾与结合相关文献,就儿童的定义、儿童髁突骨折的特点、分类及治疗进展等相关内容作一综述,以期对临床实践提供参考和帮助。

Condylar fractures, which are among the most common types of fracture, comprise 40%-67% of mandibular fractures in children. The treatment of condylar fractures in children has always been shrouded with controversy, and consensus on standard treatment of such fracture is yet to be achieved. The treatment of condylar fractures generally consists of closed and open reduction. Considering the characteristics of condylar fracture in children, the therapeutic outcome will affect the growth of the mandible and maxillofacial region. In addition, experts argue over the complications, such as bone disorders and ankylosis of temporomandibular joint, caused by treatment. This paper reviews the characteristics, classification, and development of treatment of condylar fractures in children based on published literature. This paper can be a reference to help surgeons in the clinical treatment of condylar fractures in children.