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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.

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。

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