一种在无牙下颌骨骨折中实现上下颌固定的新技术。
A novel technique for attaining maxillomandibular fixation in the edentulous mandible fracture.
作者信息
Knotts Christopher, Workman Meredith, Sawan Kamal, El Amm Christian
机构信息
Division of Plastic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
出版信息
Craniomaxillofac Trauma Reconstr. 2012 Mar;5(1):7-10. doi: 10.1055/s-0031-1300962.
Abstract
Edentulous mandible fractures present a unique and challenging surgical problem, particularly because of lack of occlusive dental surfaces to capitalize upon maxillomandibular fixation (MMF). We present a novel technique to achieve MMF using rigid plates spanning the oral cavity to fixate the maxilla to the mandible. The process is rapid and allows stability using the established principles of rigidity, external fixation, and osteosynthesis. This technique allows for a faster MMF than with a Gunning splint and allows for easier oral hygiene. An illustrative case and pre- and postoperative imaging are provided.
摘要
无牙下颌骨骨折是一个独特且具有挑战性的外科问题，尤其是因为缺乏咬合牙面来利用颌间固定（MMF）。我们提出一种新技术，使用横跨口腔的刚性板将上颌骨固定到下颌骨来实现颌间固定。该过程快速，并且利用既定的刚性、外固定和骨合成原则实现稳定。与使用甘氏夹板相比，该技术能实现更快的颌间固定，并且口腔卫生更容易保持。文中提供了一个说明性病例以及术前和术后影像学资料。
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