关于髁状突骨折手术治疗的当前观点。
Current opinions on surgical treatment of fractures of the condylar head.
作者信息
Boffano Paolo, Benech Rodolfo, Gallesio Cesare, Arcuri Francesco, Benech Arnaldo
机构信息
Division of Maxillofacial Surgery, Head and Neck Department, University of Turin, Turin, Italy.
Department of Maxillo-Facial Surgery, Ospedale Maggiore della Carità, Novara, Italy.
出版信息
Craniomaxillofac Trauma Reconstr. 2014 Jun;7(2):92-100. doi: 10.1055/s-0034-1371772. Epub 2014 Mar 11.
Treatment of mandibular condyle fractures is still controversial, with surgical treatment slowly becoming the preferred option. However, fractures of the condylar head (diacapitular fractures) are still treated conservatively at many institutions. Recently, more and more surgeons have begun to perform open treatment for diacapitular fractures because it allows to restore the anatomical position of the fragments and disc, it allows an immediate functional movement of the jaw, and avoid the ankylosis of the temporomandibular joint induced by the trauma. Several techniques have been proposed to reduce and fix fractures of the condylar head, such as standard bone screws, resorbable screws, resorbable pins, and cannulated lag screws. Therefore, the aim of this article is to review the literature about the surgical treatment of fractures of the condylar head to resume the current knowledge about open treatment of such fractures.
下颌髁突骨折的治疗仍存在争议，手术治疗正逐渐成为首选方案。然而，在许多机构中，髁突头部骨折（双髁突骨折）仍采用保守治疗。最近，越来越多的外科医生开始对双髁突骨折进行开放治疗，因为它能够恢复骨折碎片和关节盘的解剖位置，使下颌立即进行功能性运动，并避免创伤引起的颞下颌关节强直。已经提出了几种技术来复位和固定髁突头部骨折，如标准骨螺钉、可吸收螺钉、可吸收钢针和空心拉力螺钉。因此，本文的目的是回顾有关髁突头部骨折手术治疗的文献，以总结目前对此类骨折开放治疗的认识。
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