Manfra Marretta S, Schrader S C, Matthiesen D T
Animal Medical Center, New York, NY 10021.
Probl Vet Med. 1990 Mar;2(1):220-47.
Fractures of the mandible and maxilla occur frequently in the dog and cat. Appropriate preoperative, intraoperative, and postoperative management of jaw fractures is imperative for successful results. Various techniques of jaw fracture management, including tape muzzles, circumferential wiring, interarcade wiring, interosseous wiring, interdental wiring, acrylic splints, percutaneous skeletal fixation, intramedullary pinning, bone plating, and partial mandibulectomy, have unique advantages and disadvantages. Selection of the appropriate method of fixation depends on the signalment of the animal, type of fracture, and the veterinarian's experience and expertise with the various types of fixation. Careful postoperative evaluation will result in the early detection of problems and ensure proper postoperative care.
下颌骨和上颌骨骨折在犬猫中很常见。为了获得成功的治疗效果，颌骨骨折的术前、术中和术后的适当管理至关重要。颌骨骨折管理的各种技术，包括胶带口套、环形钢丝固定、牙弓间钢丝固定、骨间钢丝固定、牙间钢丝固定、丙烯酸夹板、经皮骨骼固定、髓内穿针、接骨板固定和部分下颌骨切除术，都有其独特的优缺点。选择合适的固定方法取决于动物的特征、骨折类型以及兽医对各种固定类型的经验和专业知识。术后仔细评估将有助于早期发现问题并确保术后护理得当。
