De Souza Michelle, Oeltjen John C, Panthaki Zubin J, Thaller Seth R
Department of Plastic and Reconstructive Surgery, University of Miami, Miami, Florida, USA.
J Craniofac Surg. 2007 Jul;18(4):912-6. doi: 10.1097/scs.0b013e3180684377.
In covering the Emergency Department, the Plastic Surgeon can be faced with the mandibular fracture patient. Although the timely repair of the fracture usually leads to normal function and appearance, occasionally the surgeon is faced with the untoward sequelae of the mandible fracture. Post-traumatic mandibular deformities include non-union, malunion, malocclusion, TMJ dysfuction, and facial asymmetry. The difficulty in treatment of these deformities can be compounded by edentulous mandibles, substance abuse, and approach controversies such as the timing of the repair and surgical versus non-surgical management. Knowledge of the post-traumatic mandibular deformities by the treating physician not only assists in their management but may also allow for their prevention.
在急诊科值班时，整形外科医生可能会遇到下颌骨骨折患者。虽然及时修复骨折通常会使功能和外观恢复正常，但外科医生偶尔也会面临下颌骨骨折的不良后遗症。创伤后下颌骨畸形包括骨不连、骨愈合不良、咬合不正、颞下颌关节功能障碍和面部不对称。无牙下颌骨、药物滥用以及诸如修复时机和手术与非手术治疗等方法上的争议会使这些畸形的治疗更加困难。治疗医生了解创伤后下颌骨畸形不仅有助于对其进行处理，还可能有助于预防。
