Zhou J L
Postgraduate Medical College of PLA, Beijing.
Zhonghua Kou Qiang Yi Xue Za Zhi. 1992 May;27(3):168-70, 190.
We have observed two cases of fresh SFMC of the children treated by occlusal pads and one case of old SFMC not treated. According to the survey of the above two kinds of SFMC, we conclude that: (1) The degree of the fractured fragment of the children are smaller than that in the adult. The outcomes of the cases treated by occlusal pads are good. (2) The condyle will be malformed and adhered to the lateral tubercle of the mandibular fossa in the untreated case. (3) The principles of the treatment of fresh SFMC are to prevent secondary trauma of the joint, to let the residual part of the condyle remodelling under light pressure and to reduce distance between the fractured fragments. The occlusal pad can fulfil these requirements.
我们观察了2例经咬合垫治疗的儿童新鲜髁突骨折病例和1例未经治疗的陈旧性髁突骨折病例。根据对上述两种髁突骨折的调查，我们得出以下结论：（1）儿童骨折碎片的程度小于成人。经咬合垫治疗的病例效果良好。（2）未经治疗的病例中，髁突会畸形并粘连至下颌窝外侧结节。（3）新鲜髁突骨折的治疗原则是防止关节的继发性创伤，使髁突残余部分在轻压力下重塑，并减少骨折碎片之间的距离。咬合垫可以满足这些要求。
