Gayathri G, Elavenil P, Sasikala B, Pathumai M, Krishnakumar Raja V B
Department of Oral & Maxillofacial Surgery, SRM Dental College & Hospital, Ramapuram Campus, Ramapuram, Chennai, India.
Department of Oral & Maxillofacial Surgery, SRM Dental College & Hospital, Ramapuram Campus, Ramapuram, Chennai, India.
Int J Oral Maxillofac Surg. 2016 Mar;45(3):297-303. doi: 10.1016/j.ijom.2015.09.020. Epub 2015 Dec 15.
The incidence of fractures of styloid process, either in isolation or association with mandibular fractures, is rare, and frequently overlooked. When present, they pose clinical dilemma in diagnosis and management. Proper management of styloid fractures is essential, not just to alleviate the patients' symptoms, but also to prevent potential complications like post-traumatic styloid syndrome and injury to adjacent vital structures. This article features a review of literature on 'styloid fracture concomitant with mandibular fracture' along with a case report. The article explores the biomechanics resulting in styloid fracture especially when co-existing with mandibular fractures. The article also enumerates the clinical features of this unusual clinical phenomenon and aims at rationalizing the need for its medical or surgical management. A simple protocol for the management of 'stylo-mandibular complex' fracture has been proposed.
茎突骨折，无论是孤立性的还是与下颌骨骨折合并出现的，其发生率都很低，且常常被忽视。一旦出现，它们在诊断和治疗上会带来临床难题。茎突骨折的恰当治疗至关重要，这不仅是为了缓解患者症状，也是为了预防诸如创伤后茎突综合征以及对相邻重要结构的损伤等潜在并发症。本文对“合并下颌骨骨折的茎突骨折”的文献进行了综述，并伴有一例病例报告。文章探讨了导致茎突骨折的生物力学机制，尤其是当它与下颌骨骨折并存时的情况。文章还列举了这种不寻常临床现象的临床特征，并旨在使对其进行药物或手术治疗的必要性合理化。本文提出了一种针对“茎突 - 下颌复合体”骨折的简单治疗方案。
