下颌髁突骨折——切开还是不切开：解决争议的一次尝试。
Fracture of mandibular condyle—to open or not to open: an attempt to settle the controversy.
作者信息
Rastogi Sanjay, Sharma Siddharth, Kumar Sanjeev, Reddy Mahendra P, Niranjanaprasad Indra B
机构信息
Reader, Oral and Maxillofacial Surgery and Oral Implantology, Institute of Dental Sciences, Moradabad, Uttar Pradesh, India.
Oral and Maxillofacial Surgeon and Oral Implantologist, Institute of Dental Sciences, Moradabad, Uttar Pradesh, India.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Jun;119(6):608-13. doi: 10.1016/j.oooo.2015.01.012. Epub 2015 Feb 3.
OBJECTIVE
To compare the outcome of the open method versus the closed method of treatment for mandibular condylar fracture.
STUDY DESIGN
Fifty patients with fractures of the mandibular condylar processes were evaluated. All fractures were displaced, with a degree of deviation between the condylar fragment and the ascending ramus of 10 to 45 degrees (mediolaterally). The patients were randomly divided into two groups, with group 1 receiving open reduction internal fixation and group 2 receiving closed reduction. The follow-up was done over the period of 6 months.
RESULTS
Statistically significant improvement was seen in group 1 compared with group 2 in terms of anatomic reduction of the condyle, shortening of the ascending ramus, occlusal status, and deviation on mouth opening.
CONCLUSIONS
A statistically significant difference was seen in the patients treated with the open method, with improved temporomandibular joint functions and fewer short- and long-term complications compared with those treated with the closed method.
目的
比较下颌髁突骨折开放治疗方法与闭合治疗方法的疗效。
研究设计
对50例下颌髁突骨折患者进行评估。所有骨折均有移位，髁突骨折块与升支之间的偏差角度为10至45度（内外侧方向）。患者被随机分为两组，第1组接受切开复位内固定，第2组接受闭合复位。随访期为6个月。
结果
与第2组相比，第1组在髁突解剖复位、升支缩短、咬合状态和张口偏斜方面有统计学意义的改善。
结论
采用开放治疗方法的患者有统计学意义的差异，与采用闭合治疗方法的患者相比，颞下颌关节功能改善，短期和长期并发症更少。
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