De Temmerman Griet, Falter Bart, Schepers Serge, Vrielinck Luc, Orye Johan, Politis Constantinus
Department of Oral and Maxillofacial Surgery, St. John's Hospital, Genk, Belgium.
Craniomaxillofac Trauma Reconstr. 2011 Dec;4(4):217-22. doi: 10.1055/s-0031-1293517.
Simultaneous fracture of the maxilla and cervical vertebrae rarely occurs in bicycling accidents. The following case report describes a simple technique for closed reduction of a severely comminuted maxillary fracture with shattering of the dentoalveolar process. The combination of a rigid external distractor halo frame on the skull, a Kirschner wire through the maxilla, and an intermaxillary wire fixation resulted in stable vertical and sagittal correction of the fragmented maxilla with adequate access and minimal manipulation and without necessitating removal of the cervical collar.
上颌骨和颈椎同时骨折在自行车事故中很少发生。以下病例报告描述了一种用于闭合复位严重粉碎性上颌骨骨折并伴有牙槽突粉碎的简单技术。颅骨上的刚性外部牵引光环架、穿过上颌骨的克氏针以及颌间钢丝固定相结合，实现了对上颌骨碎片的稳定垂直和矢状位矫正，具有足够的操作空间，操作最少，且无需去除颈托。
