一种治疗髁突内侧或低位骨折的新手术方法：小腮腺前入路。
A new surgical approach to treat medial or low condylar fractures: the minor parotid anterior approach.
作者信息
Hou Jia, Chen Lin, Wang Tingting, Jing Wei, Tang Wei, Long Jie, Tian Weidong, Liu Lei
机构信息
Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Mar;117(3):283-8. doi: 10.1016/j.oooo.2013.11.491. Epub 2013 Nov 18.
OBJECTIVE
A new surgical approach, denoted as the minor parotid anterior approach, was designed to treat medial or low mandibular condylar fractures.
STUDY DESIGN
Sixty patients (72 sides) with medial or low condylar fractures were treated surgically. Thirty-six patients (42 sides) were treated with the minor parotid anterior approach, and 24 patients (30 sides) were treated with a retromandibular approach. Data on the surgical procedures and complications were recorded. The follow-up period was 3 to 12 months.
RESULTS
Four patients suffered facial nerve injury in the group treated with the retromandibular approach. No cases of facial nerve injury occurred in the minor parotid anterior approach group.
CONCLUSIONS
The minor parotid anterior approach avoided facial nerve injury, resulted in less visible facial scarring, and required less manipulation time. Therefore, the minor parotid anterior approach is worth application in the clinical setting.
目的
设计一种新的手术入路，即腮腺前小切口入路，用于治疗下颌骨髁突内侧或低位骨折。
研究设计
对60例（72侧）下颌骨髁突内侧或低位骨折患者进行手术治疗。36例（42侧）采用腮腺前小切口入路治疗，24例（30侧）采用下颌后入路治疗。记录手术操作及并发症数据。随访时间为3至12个月。
结果
下颌后入路治疗组有4例患者发生面神经损伤。腮腺前小切口入路组未发生面神经损伤病例。
结论
腮腺前小切口入路避免了面神经损伤，面部瘢痕不明显，手术操作时间较短。因此，腮腺前小切口入路值得在临床中应用。
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