Madsen Matthew, Tiwana Paul S, Alpert Brian
Department of Surgical and Hospital Dentistry, University of Louisville, Louisville, Kentucky.
Craniomaxillofac Trauma Reconstr. 2012 Jun;5(2):107-10. doi: 10.1055/s-0032-1313362.
Although less common than adult fractures, fractures of the pediatric maxillofacial skeleton present unique challenges. Different considerations including variations of anatomy including tooth buds, dental variations, as well as considerations for future growth must be addressed. When traditional techniques to treat adult fractures are applied for securing intermaxillary fixation (IMF) such as arch bars, difficulty arises because the primary teeth are shorter and conventional arch bar techniques may slip off intra or postoperatively. We present a technique to achieve both IMF as well as interdental stability using a Risdon cable. Although this technique is not new, we present it as our preferred method for treating pediatric fractures of the facial skeleton where IMF must be accomplished.
虽然小儿颌面部骨骼骨折不如成人骨折常见，但却带来了独特的挑战。必须考虑到不同因素，包括解剖结构的差异（如牙胚、牙齿变异）以及对未来生长的考量。当应用治疗成人骨折的传统技术来固定颌间固定（IMF），如牙弓夹板时，就会出现困难，因为乳牙较短，传统牙弓夹板技术可能在术中或术后滑脱。我们介绍一种使用里斯登钢丝来实现颌间固定以及牙间稳定的技术。虽然这项技术并不新颖，但我们将其作为治疗必须进行颌间固定的小儿面部骨骼骨折的首选方法。
