Davies B W, Cederna J P, Guyuron B
Department of Plastic Surgery, Akron General Hospital, OH.
Ann Plast Surg. 1992 May;28(5):414-9. doi: 10.1097/00000637-199205000-00004.
The use of transoral noncompression unicortical miniplates in treating 42 consecutive patients with 64 displaced mandibular fractures (excluding subcondylar) was reviewed. Titanium miniplates (Wurzburg) were used for fixation. The principles set forth by Champy and colleagues, with two plates for body and symphyseal fracture fixation and one plate superiorly along the oblique ridge for angle fractures, were performed. Intermaxillary fixation was not used postoperatively. Results compared favorably with other forms of treatment with no evidence of postoperative malocclusion, with an overall complication rate of 3%. The advantage of no external incision, avoidance of intermaxillary fixation, and normal postoperative incisal opening and occlusion make this technique our treatment of choice.
回顾了经口非加压单皮质微型钛板治疗42例连续患者的64例下颌骨移位骨折（不包括髁突下骨折）的情况。使用了钛微型钛板（维尔茨堡）进行固定。采用了尚皮及同事提出的原则，即对于体部和颏部骨折固定使用两块钛板，对于角部骨折沿斜嵴上方使用一块钛板。术后未使用颌间固定。结果与其他治疗方式相比良好，没有术后错牙合的证据，总体并发症发生率为3%。无外部切口、避免颌间固定以及术后正常的切牙开口和咬合的优点使该技术成为我们的首选治疗方法。
