Halling F, Merten H A, Wiltfang J, Luhr H G
Abteilung Kieferchirurgie, Zentrum Zahn-, Mund- und Kieferheilkunde der Universität Gottingen.
Dtsch Zahnarztl Z. 1990 Dec;45(12):809-12.
Because of their etiology, localization and therapy, mandibular fractures in children occupy a special position. At the University Hospital in Göttingen 70 children with a total of 112 mandibular fractures were treated between 1979 and 1988. 30 out of 36 mandibular body fractures were treated with plate fixation, i.e. predominantly minicompression plates. This type of treatment requires no postoperative intermaxillary fixation. Furthermore, it allows immediate functional treatment for a possible concomitant condylar neck fracture. Neither clinically nor radiographically was there any major inhibition of mandibular growth or nonunion in the 24 patients examined (mean follow-up period 4.7 years). The results demonstrate that rigid plate fixation of mandibular fractures may also be recommended in children.
由于其病因、部位及治疗方式，儿童下颌骨骨折占据特殊地位。1979年至1988年间，哥廷根大学医院共治疗了70例儿童患者，总计112处下颌骨骨折。36处下颌骨体部骨折中的30处采用钢板固定治疗，主要是微型加压钢板。这种治疗方式无需术后颌间固定。此外，对于可能伴发的髁突颈部骨折，它允许立即进行功能治疗。在接受检查的24例患者中（平均随访期4.7年），无论是临床还是影像学检查，均未发现下颌骨生长有任何明显抑制或骨不连情况。结果表明，儿童下颌骨骨折也可推荐采用坚固钢板固定治疗。
