Demirkol Mehmet, Demirkol Nermin, Abdo Omar Hasan, Aras Mutan Hamdi
*Department of Oral and Maxillofacial Surgery †Department of Prosthodontics, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey.
J Craniofac Surg. 2016 Jun;27(4):e363-4. doi: 10.1097/SCS.0000000000002617.
The management of pediatric mandibular fractures is challenging for maxillofacial surgeons due to ongoing mandibular growth involving tooth buds. The treatment of such fractures has been a topic of much research. Generally accepted methods for the treatment of mandibular parasymphyseal or symphyseal fractures in children are conservative approaches involving the use of acrylic splints, lateral compression with an open-cap splint stabilized by circummandibular wiring, and maxillomandibular fixation with an arch bar and eyelet wiring. The aim of this technical note was to describe a straightforward approach to the treatment of pediatric mandibular fractures, in which an occlusal splint is secured to prevent trauma to the soft tissue, without the need for general anesthesia.
由于下颌骨生长涉及牙胚,小儿下颌骨骨折的管理对颌面外科医生来说具有挑战性。此类骨折的治疗一直是众多研究的主题。目前普遍接受的儿童下颌骨旁正中或正中骨折的治疗方法是保守方法,包括使用丙烯酸夹板、用环绕下颌骨结扎固定的开口帽夹板进行侧向加压,以及用牙弓杆和小孔结扎进行颌间固定。本技术说明的目的是描述一种治疗小儿下颌骨骨折的直接方法,即固定咬合夹板以防止软组织受伤,且无需全身麻醉。