采用改良高位下颌下入路治疗髁突基部骨折：单机构连续44例治疗经验
Use of a modified high submandibular approach to treat condylar base fractures: Experience with 44 consecutive cases treated in a single institution.
作者信息
Pau Mauro, Navisany Kawe, Reinbacher Knut Ernst, Zrnc Tomislav, Wallner Jürgen, Schwenzer-Zimmerer Katja
机构信息
Department of Oral and Maxillofacial Surgery (Head: Prof. Katja Schwenzer-Zimmerer), Medical University of Graz, Austria.
Department of Oral and Maxillofacial Surgery (Head: Prof. Katja Schwenzer-Zimmerer), Medical University of Graz, Austria.
出版信息
J Craniomaxillofac Surg. 2016 Oct;44(10):1641-1645. doi: 10.1016/j.jcms.2016.07.009. Epub 2016 Aug 2.
PURPOSE
The aim of this article is to present our experience treating fractures of the condylar base with a modification of the high submandibular approach (HSA).
MATERIALS AND METHODS
Between June 2012 and April 2015, 44 fractures of the condylar base were treated in the Department of Oral and Maxillofacial Surgery of the Medical Hospital of Graz using the modified HSA.
RESULTS
We did not observe any damage (even transient) to the facial nerve or any complication related to violation of the parotid capsule (such as a salivary fistula, Frey syndrome, or a sialocele).
CONCLUSIONS
This approach provides good access to the condylar base, ensuring easier internal fixation, excellent protection of the facial nerve and parotid gland, and good cosmetic results.
目的
本文旨在介绍我们采用改良的下颌下高位入路（HSA）治疗髁突基部骨折的经验。
材料与方法
2012年6月至2015年4月期间，格拉茨医科大学口腔颌面外科采用改良的HSA治疗了44例髁突基部骨折。
结果
我们未观察到对面神经有任何损伤（即使是短暂的），也未观察到与腮腺包膜破裂相关的任何并发症（如涎瘘、弗雷综合征或涎囊肿）。
结论
该入路能很好地显露髁突基部，确保内固定更容易，对面神经和腮腺有出色的保护作用，且美容效果良好。
Zotero 插件