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当前治疗方法:面部骨折坚固内固定相关并发症

Current therapy: complications associated with rigid internal fixation of facial fractures.

作者信息

Aziz Shahid R, Ziccardi Vincent B, Borah Gregory

机构信息

Department of Oral and Maxillofacial Surgery, New Jersey Dental School, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA.

出版信息

Compend Contin Educ Dent. 2005 Aug;26(8):565-71; quiz 572.

PMID:16101097
Abstract

Rigid internal fixation (RIF) is commonly used for the anatomical reduction and fixation of facial fractures. This technique has many advantages over more traditional methods, such as wire osteosynthesis and maxillomandibular fixation. Properly placed RIF ensures a stable anatomical reduction and allows for immediate or early restoration of function. RIF has a number of complications associated with its use in facial trauma surgery including metal sensitivity, infection, neurologic injury, dental trauma, stress shielding, and malocclusion. Complication rates appear to be inversely proportional with operator skill and experience when using RIF.

摘要

坚固内固定(RIF)常用于面部骨折的解剖复位和固定。与更传统的方法(如钢丝骨接合术和颌间固定)相比,该技术具有许多优势。正确放置的坚固内固定可确保稳定的解剖复位,并能立即或早期恢复功能。坚固内固定在面部创伤手术中的使用存在一些并发症,包括金属过敏、感染、神经损伤、牙外伤、应力遮挡和错牙合畸形。使用坚固内固定时,并发症发生率似乎与术者的技术和经验成反比。

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引用本文的文献

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Efficacy of Microplates versus Miniplates in the Management of Maxillofacial Fractures.微型钢板与小型钢板在颌面部骨折治疗中的疗效比较
Ann Maxillofac Surg. 2020 Jan-Jun;10(1):31-36. doi: 10.4103/ams.ams_30_20. Epub 2020 Jun 8.
2
Effects of polymethylmethacrylate on the stability of screw fixation in mandibular angle fractures: A study on sheep mandibles.聚甲基丙烯酸甲酯对下颌角骨折中螺钉固定稳定性的影响:绵羊下颌骨研究。
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