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无牙情况下的颌间固定:MMF螺钉与甘氏夹板联合应用

Maxillo Mandibular Fixation in Edentulous Scenarios: Combined MMF Screws and Gunning Splints.

作者信息

Chaudhary Zainab, Sharma Rakesh, Krishnan Sriram

机构信息

MDS Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, MAMC Complex, B.S Zafar marg, New Delhi, 110002 India.

出版信息

J Maxillofac Oral Surg. 2014 Jun;13(2):213-4. doi: 10.1007/s12663-013-0481-z. Epub 2013 Feb 3.

DOI:10.1007/s12663-013-0481-z
PMID:24822016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4016397/
Abstract

A fracture of the maxillary or mandibular bone requires the afflicted to undergo a maxillo mandibular fixation for the establishment of pre traumatic occlusion. This process is quiet tedious and consumes a considerable period of time before any surgical procedure can commence. Such a situation can be complicated in case the individual with maxillomandibular fracture has sparse or absent dentition; for such cases a splint is fabricated or an erstwhile existing denture is used for maintaining a vertical jaw proportion. Stabilizing such splints to the jaw requires various invasive approaches that can bring into harm's way, adjacent soft tissue vital structures. We describe here an innovative technique combining the time tested method of the "gunning splint" and the advanced minimally invasive MMF screws for obtaining closed reduction in edentulous jaw fractures.

摘要

上颌骨或下颌骨骨折需要患者接受颌间固定以恢复创伤前的咬合关系。这个过程非常繁琐,并且在任何外科手术开始之前都需要花费相当长的时间。如果颌骨骨折的患者牙齿稀疏或无牙,这种情况会变得更加复杂;对于这种情况,需要制作夹板或使用现有的假牙来维持垂直颌骨比例。将这些夹板固定到颌骨上需要各种侵入性方法,这可能会危及相邻的重要软组织结构。我们在此描述一种创新技术,该技术结合了经过时间考验的“枪式夹板”方法和先进的微创颌间固定螺钉,用于无牙颌骨折的闭合复位。

相似文献

1
Maxillo Mandibular Fixation in Edentulous Scenarios: Combined MMF Screws and Gunning Splints.无牙情况下的颌间固定:MMF螺钉与甘氏夹板联合应用
J Maxillofac Oral Surg. 2014 Jun;13(2):213-4. doi: 10.1007/s12663-013-0481-z. Epub 2013 Feb 3.
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Simple way of fixing a Gunning-type splint to the bone using intermaxillary fixation screws: technical note.使用颌间固定螺钉将甘宁式夹板固定至骨骼的简易方法:技术说明。
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A novel technique for attaining maxillomandibular fixation in the edentulous mandible fracture.一种在无牙下颌骨骨折中实现上下颌固定的新技术。
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An improved Gunning splint.一种改良的冈宁夹板。
J Prosthet Dent. 1975 May;33(5):562-6. doi: 10.1016/s0022-3913(75)80171-5.
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Mandibulomaxillary fixation with bone anchors and quick-release ligatures.使用骨锚和快速释放结扎线进行下颌上颌固定。
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Construction of a gunning splint; case report on the handling of mandibular fractures in edentulous patients.枪式夹板的构建;无牙颌患者下颌骨折处理的病例报告
Dent Surv. 1949 Sep;25(9):1288-90.

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Management of Bilateral Condylar Fractures in an Edentulous Patient with Atrophic Mandible Using CADCAM Technology.使用计算机辅助设计与制造(CADCAM)技术治疗无牙颌且下颌骨萎缩患者的双侧髁突骨折
J Maxillofac Oral Surg. 2022 Mar;21(1):124-128. doi: 10.1007/s12663-021-01652-8. Epub 2021 Oct 4.
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[Current therapy of atrophic edentulous mandibular fractures among elderly people].[老年人萎缩性无牙下颌骨骨折的当前治疗方法]
Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Aug 1;35(4):433-436. doi: 10.7518/hxkq.2017.04.017.

本文引用的文献

1
The Use of MMF Screws: Surgical Technique, Indications, Contraindications, and Common Problems in Review of the Literature.MMF螺钉的应用:文献综述中的手术技术、适应证、禁忌证及常见问题
Craniomaxillofac Trauma Reconstr. 2010 Jun;3(2):55-80. doi: 10.1055/s-0030-1254376.
2
Maxillomandibular fixation using intraoral cortical bone screws and specially designed metal hooks (Ottenhaken) in the conservative treatment of mandibular fractures.在下颌骨骨折的保守治疗中,使用口内皮质骨螺钉和专门设计的金属钩(奥特哈肯)进行颌间固定。
J Oral Maxillofac Surg. 2008 Feb;66(2):336-41. doi: 10.1016/j.joms.2007.06.671.
3
Mr. Gunning and his splint.冈宁先生和他的夹板。
Br J Oral Surg. 1969 Nov;7(2):112-5. doi: 10.1016/s0007-117x(69)80006-5.
4
Use of a miniplate to provide intermaxillary fixation in the edentulous patient.在无牙患者中使用微型钢板进行颌间固定。
J Craniomaxillofac Surg. 1989 Jan;17(1):31-3. doi: 10.1016/s1010-5182(89)80124-6.