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使用橡胶弹力带对儿童髁突骨折采取保守治疗方法:7年随访

Conservative approach of condylar fracture in a child by the use of rubber elastics: 7-year follow-up.

作者信息

Noleto José Wilson, Leão Ellen Inácio, Braga Cícero Luis, Yang Sérgio, Sardow Aline

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, Campina Grande Federal University, Paraiba, Brazil.

出版信息

J Dent Child (Chic). 2011 Sep-Dec;78(3):148-53.

Abstract

Condylar fractures in pediatric patients occur frequently, often with minimal pain and discomfort. Thus, these fractures in children are overlooked during emergency care. Condylar fractures can be treated conservatively or by open reduction. As a rule, very good healing results are achieved by conservative treatment. In these cases, jaw function restoration using physiotherapy at an early stage can prevent complications such as asymmetry, interference in the facial growth, and ankylosis. The purpose of this case report was to discuss the peculiarities of treatment of mandibular condyle fractures in pediatric patients and report a case in which the condyles were successfully treated conservatively in a 10-year-old patient. The case was followed up for seven years.

摘要

小儿髁突骨折经常发生,通常疼痛和不适轻微。因此,这些儿童骨折在急诊时易被忽视。髁突骨折可采用保守治疗或切开复位治疗。通常,保守治疗能取得很好的愈合效果。在这些病例中,早期使用物理治疗恢复下颌功能可预防诸如不对称、面部生长干扰和关节强直等并发症。本病例报告的目的是讨论小儿下颌髁突骨折的治疗特点,并报告一例10岁患者髁突成功接受保守治疗的病例。该病例随访了七年。

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