Lee Jung-Ho
Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Arch Craniofac Surg. 2017 Jun;18(2):73-75. doi: 10.7181/acfs.2017.18.2.73. Epub 2017 Jun 26.
The management of mandibular angle fractures is often challenging and results in the highest complication rate among fractures of the mandible. In addition, the optimal treatment modality for angle fractures remains controversial. Traditional treatment protocols for angle fractures have involved rigid fixation with intraoperative maxillomandibular fixation (MMF) to ensure absolute stability. However, more recently, non-compression miniplates have gained in popularity and the use of absolute intraoperative MMF as an adjunct to internal fixation has become controversial. In this article, the history of, and current trends in, the treatment of mandibular angle fractures will be briefly reviewed. In addition, issues regarding the management of the third molar tooth will be discussed.
下颌角骨折的治疗通常具有挑战性,且在下颌骨骨折中并发症发生率最高。此外,角部骨折的最佳治疗方式仍存在争议。传统的角部骨折治疗方案包括术中颌间固定(MMF)的坚强内固定,以确保绝对稳定。然而,最近,非加压微型钢板越来越受欢迎,术中使用绝对颌间固定作为内固定的辅助手段也存在争议。本文将简要回顾下颌角骨折治疗的历史和当前趋势。此外,还将讨论与第三磨牙处理相关的问题。