Merten H A, Halling F
Dept of Maxillofacial Surgery, University Hospital, Göttingen, Germany.
J Craniomaxillofac Surg. 1992 Oct;20(7):310-2. doi: 10.1016/s1010-5182(05)80402-0.
In two-jaw surgery, special importance must be attached to the maintenance of the condylar position, particularly in combination with rigid fixation, not only to enhance the stability of the post-operative result but also to avoid iatrogenic temporomandibular joint complications. The new positioning method reported herein is based on a mini fragmentation plate, which can be easily adapted to the bone surface. Reinforcement of the plate by autopolymerizing acrylate, injected into a silicone tube which is pushed over the plate, prevents any unnoticed deformation of the positioning device during surgery. In clinical use, this positioning method has proved to be more versatile and technically less difficult to perform than previous techniques, without any decrease in reliability.
在双颌手术中，必须特别重视髁突位置的维持，尤其是在采用坚固内固定时，这不仅是为了提高术后效果的稳定性，也是为了避免医源性颞下颌关节并发症。本文报道的新定位方法基于一种微型接骨板，它能很容易地贴合骨面。通过将自凝丙烯酸酯注入推覆在接骨板上的硅胶管中来加强接骨板，可防止定位装置在手术过程中出现任何未被察觉的变形。在临床应用中，这种定位方法已被证明比以往技术更具通用性，操作上技术难度更低，且可靠性并未降低。
