Lachner J, Clanton J T, Waite P D
Department of Oral and Maxillofacial Surgery, University of Alabama, Birmingham.
Oral Surg Oral Med Oral Pathol. 1991 Mar;71(3):257-61. doi: 10.1016/0030-4220(91)90295-n.
Extraoral open reduction and rigid fixation of mandibular subcondylar fractures is controversial among surgeons. An intraoral approach with a percutaneous trocar and miniplates demonstrated satisfactory reduction. This technique can be more easily performed than a preauricular or submandibular incision, and risk of facial nerve damage is diminished. Early function with proper vertical dimension was restored with minimal postoperative morbidity.
下颌髁突骨折的口外切开复位及坚强内固定在外科医生中存在争议。经皮套管针及微型钢板的口内入路显示出满意的复位效果。该技术比耳前或下颌下切口更容易实施，且面神经损伤风险降低。以最小的术后并发症恢复了具有适当垂直距离的早期功能。
