混合牙列期儿童单侧髁突移位骨折的保守治疗
Conservative treatment of unilateral displaced condylar fractures in children with mixed dentition.
作者信息
Boffano Paolo, Roccia Fabio, Schellino Eleonora, Baietto Federico, Gallesio Cesare, Berrone Sid
机构信息
Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Turin, Italy.
出版信息
J Craniofac Surg. 2012 Sep;23(5):e376-8. doi: 10.1097/SCS.0b013e31825755d3.
PURPOSE
The aim of the study was to present the outcomes of the conservative treatment of unilateral displaced condylar fractures in a series of children with mixed dentition.
METHODS
The treatment protocol of our study population included the placement of fixed orthodontic appliances, the preparation of a maxillary acrylic splint, and functional exercises. Six and 12 months after trauma, patients underwent clinical temporomandibular joint dysfunction and mandibular motion assessments and a panoramic radiography.
RESULTS
Fourteen children with a mean age of 7.2 years were included in the study. At 1 year follow-up, complete clinical and functional recovery was observed in all patients. A complete healing process leading to a normal condylar process was observed in almost all patients.
CONCLUSIONS
Conservative treatment of displaced condylar fractures in children, using a progressively remodeled splint, showed satisfactory functional outcomes at 12 months of follow-up.
目的
本研究旨在呈现一系列混合牙列期儿童单侧移位髁突骨折保守治疗的结果。
方法
我们研究人群的治疗方案包括放置固定正畸矫治器、制作上颌丙烯酸夹板以及进行功能锻炼。创伤后6个月和12个月，患者接受临床颞下颌关节功能障碍和下颌运动评估以及全景X线摄影。
结果
14名平均年龄为7.2岁的儿童纳入本研究。在1年随访时，所有患者均观察到临床和功能完全恢复。几乎所有患者均观察到导致髁突正常的完全愈合过程。
结论
在儿童移位髁突骨折的保守治疗中，使用逐渐重塑的夹板，在12个月随访时显示出令人满意的功能结果。
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