Pal Uma Shanker, Singh R K, Dhasmana Satish, Das Somdipto, Das Sanjib K
Department of Oral and Maxillofacial Surgery ; Department of Dental Sciences.
Department of Anaesthesiology, King George Medical College, Lucknow, Uttar Pradesh, India.
Craniomaxillofac Trauma Reconstr. 2013 Mar;6(1):25-30. doi: 10.1055/s-0032-1332211. Epub 2013 Jan 15.
Introduction Mandibular angle fractures can be treated by various methods, but even the most popular methods may not be able to give satisfactory results, as the pterygomasseteric sling and masticatory forces can result in displaced angle fracture. These displaced fragments cannot be satisfactorily retained by single miniplate fixation. The aim of this study is to assess treatment of displaced angle fracture with 3-D miniplate fixation. This study can also be considered as a therapeutic study with level V evidence. Materials and Methods This study was designed to assess the feasibility of 3-D matrix miniplate fixation in displaced angle fractures. Eighteen patients with displaced angle fractures were included in this study. Matrix miniplate fixation was done transorally under general anesthesia. Results All these cases were treated successfully, and common complications like infection (5.5% of patients), wound dehiscence (11%), paresthesia (16.7%), and malocclusion (11%) were observed in our study. Conclusions Three-dimensional miniplate fixation in displaced angle fractures provides better stability and function.
引言 下颌角骨折可用多种方法治疗,但即便最常用的方法也可能无法取得满意效果,因为翼内肌 - 咬肌吊带和咀嚼力可导致角部骨折移位。这些移位的骨折块无法通过单块微型钢板固定得到满意的固定。本研究的目的是评估三维微型钢板固定治疗移位角部骨折的效果。本研究也可视为一项证据等级为V级的治疗性研究。材料与方法 本研究旨在评估三维矩阵微型钢板固定治疗移位角部骨折的可行性。本研究纳入了18例移位角部骨折患者。在全身麻醉下经口进行矩阵微型钢板固定。结果 所有这些病例均成功治疗,本研究中观察到了常见并发症,如感染(占患者的5.5%)、伤口裂开(11%)、感觉异常(16.7%)和错牙合(11%)。结论 三维微型钢板固定治疗移位角部骨折可提供更好的稳定性和功能。