Wilkening Matthew W, Patel Parit A, Gordon Christopher B
Division of Plastic, Reconstructive and Hand Surgery, University of Cincinnati, Cincinnati, Ohio, USA.
J Craniofac Surg. 2012 Sep;23(5):e418-9. doi: 10.1097/SCS.0b013e31825daecc.
Low-velocity gunshot wounds to the mandible are complex injuries that can be aesthetically and functionally devastating. Despite advances in plating systems and surgical techniques, repair of such injuries remains a challenging endeavor. Traditionally, external fixation has resulted in longer treatment times and the need for revision surgery. Rigid fixation has many proponents because of shorter postoperative treatment times and fewer complications. We report a case of a low-velocity gunshot injury to the mandible with comminution and a full-thickness soft tissue wound treated definitively with maxillomandibular fixation and an external fixation device.
下颌骨的低速枪伤是复杂的损伤，在美观和功能方面可能具有极大的破坏性。尽管接骨板系统和外科技术有所进步，但修复此类损伤仍是一项具有挑战性的工作。传统上，外固定导致治疗时间延长且需要进行翻修手术。由于术后治疗时间较短且并发症较少，坚强内固定有许多支持者。我们报告一例下颌骨低速枪伤合并粉碎性骨折及全层软组织伤口的病例，该病例采用颌间固定和外固定装置进行了确定性治疗。
