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一例伴有多处下颌骨骨折和牙槽损伤的复杂面部创伤病例。

A Complex Facial Trauma Case with Multiple Mandibular Fractures and Dentoalveolar Injuries.

作者信息

Guven Yeliz, Zorlu Sevgi, Cankaya Abdulkadir Burak, Aktoren Oya, Gencay Koray

机构信息

Department of Pedodontics, Faculty of Dentistry, Istanbul University, Capa, 34093 Istanbul, Turkey.

Department of Pedodontics, Faculty of Dentistry, Aydin University, Sefaköy, 34295 Istanbul, Turkey.

出版信息

Case Rep Dent. 2015;2015:301013. doi: 10.1155/2015/301013. Epub 2015 Aug 3.

Abstract

The principles of management of mandibular fractures differ in children when compared to adults and depend on the specific age-related status of the growing mandible and the developing dentition. This paper presents a case report with a complex facial trauma affecting the mandibular body and condyle region and dentoalveolar complex. Clinical examination revealed soft tissue injuries, limited mouth opening, lateral deviation of the mandible, an avulsed incisor, a subluxated incisor, and a fractured crown. CBCT examination revealed a nondisplaced fracture and an oblique greenstick fracture of the mandibular body and unilateral fracture of the condyle. Closed reduction technique was chosen to manage fractures of the mandible. Favorable healing outcomes on multiple fractures of the mandible throughout the 6-year follow-up period proved the success of the conservative treatment. This case report is important since it presents a variety of pathological sequelae to trauma within one case.

摘要

与成人相比,儿童下颌骨骨折的治疗原则有所不同,这取决于生长中的下颌骨和发育中的牙列的特定年龄相关状况。本文报告一例复杂面部创伤病例,该创伤累及下颌体、髁突区域及牙槽复合体。临床检查发现软组织损伤、张口受限、下颌骨向外侧偏斜、一颗门牙脱落、一颗门牙半脱位以及牙冠骨折。CBCT检查显示下颌体有一处无移位骨折和一处斜行青枝骨折,以及髁突单侧骨折。选择闭合复位技术治疗下颌骨骨折。在6年的随访期内,下颌骨多处骨折均获得良好愈合结果,证明了保守治疗的成功。该病例报告具有重要意义,因为它在一个病例中呈现了多种创伤后的病理后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aca1/4538768/f74881c0f058/CRID2015-301013.001.jpg

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