Yang Rong-tao, Lv Kun, Zhou Hai-hua, Li Zhi, Li Zu-bing
From the State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China.
J Craniofac Surg. 2015 Mar;26(2):447-8. doi: 10.1097/SCS.0000000000001349.
This study was designed to evaluate the results in isolated mandibular angle fractures treated with resorbable plates and to summarize experiences of the application of resorbable plates.
Ten patients (6 men and 4 women) with isolated displaced mandibular angle fracture were included in this case series. Open reduction by intraoral or extraoral approach was performed, and the fractures were fixed using single or dual resorbable plates. Postoperatively, follow-up was undertaken to evaluate the fracture healing and the degradation of resorbable plates.
All the fractures healed without complications during the follow-up period. No screw or plate fractured during the surgery, no dislocation of the fracture segment after the fixation by resorbable plates, and no foreign body reaction related with resorbable plates were observed.
With proper indication, resorbable plates are suitable for the fixation of isolated mandibular angle fractures. Single or dual resorbable plates by intraoral or extraoral approach can be individualized on the basis of the patients' condition.
本研究旨在评估可吸收接骨板治疗孤立性下颌角骨折的效果，并总结可吸收接骨板的应用经验。
本病例系列纳入了10例（6例男性和4例女性）孤立性移位下颌角骨折患者。采用口内或口外入路进行切开复位，使用单块或双块可吸收接骨板固定骨折。术后进行随访，以评估骨折愈合情况及可吸收接骨板的降解情况。
随访期间所有骨折均愈合且无并发症。手术过程中无螺钉或接骨板断裂，可吸收接骨板固定后骨折段无移位，未观察到与可吸收接骨板相关的异物反应。
在适应证合适的情况下，可吸收接骨板适用于孤立性下颌角骨折的固定。可根据患者情况个体化选择口内或口外入路的单块或双块可吸收接骨板。
