The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Lab for Oral Biomedical Engineering of the Ministry of Education, Wuhan University, 237 Luoyu Road, Wuhan, China.
Dent Traumatol. 2012 Dec;28(6):470-3. doi: 10.1111/j.1600-9657.2012.01118.x. Epub 2012 Feb 13.
Fracture of the alveolar process is a common injury; the majority of alveolar fractures may be managed by closed reduction. However, some cases with severe segmental alveolar fracture cannot be reduced by close reduction, usually resulting in occlusion disturbance. This article describes open reduction by vestibular approach in the treatment of severe segmental alveolar fractures, with the aim of evaluating the prognosis. Fifteen patients with severe segmental alveolar fractures that could not be reduced by closed method were included in our case series. Open reduction by vestibular approach was performed on these patients, and the fractures were stabilized with dental arch bars or dental wires. Postoperatively, all patients achieved uneventful healing; consolidation of the fracture was confirmed clinically after 4 weeks. The technique presented is an effective treatment approach proposed for cases of severe segmental alveolar fracture that cannot be managed by closed reduction.
牙槽突骨折是一种常见的损伤；大多数牙槽突骨折可通过闭合复位治疗。然而，一些严重的节段性牙槽突骨折病例不能通过闭合复位来复位，通常会导致咬合紊乱。本文描述了通过前庭入路进行切开复位治疗严重节段性牙槽突骨折，以评估其预后。我们的病例系列包括 15 例不能通过闭合方法复位的严重节段性牙槽突骨折患者。对这些患者采用前庭入路切开复位，用牙弓夹板或牙线固定骨折。术后所有患者均愈合顺利；4 周后临床确认骨折愈合。该技术是一种有效的治疗方法，适用于不能通过闭合复位治疗的严重节段性牙槽突骨折。
