Oikarinen K, Altonen M, Kauppi H, Laitakari K
Dept. of Oral Surgery, Institute of Dentistry, University of Oulu, Finland.
J Craniomaxillofac Surg. 1989 Jan;17(1):24-30. doi: 10.1016/s1010-5182(89)80123-4.
The treatment of 200 mandibular fractures was evaluated retrospectively with special reference to the need for rigid internal fixation (AO-plating), as indicated by the ASIF organization. It was shown that the treatment was most typically intermaxillary fixation (50%) followed by Gunning-type splints (17%), wire (16%) and plate (6%) osteosynthesis, while 11% received no active treatment. Complications during splinting were most common among patients treated by osteosynthesis via an extra-oral approach. Most of the fractures (73%) were estimated to be anatomically suitable for AO-plating. One fifth (22%) had relative indications for the use of rigid internal fixation, and 59% had absolute indications, mostly due to simultaneous condylar and corpus (body) fractures or due to fractures in the angle region.
对200例下颌骨骨折的治疗进行了回顾性评估，特别参考了国际内固定研究学会（ASIF）组织所指出的坚固内固定（AO钢板固定）的必要性。结果显示，最常用的治疗方法是颌间固定（50%），其次是甘氏夹板（17%）、钢丝固定（16%）和钢板骨固定（6%），而11%的患者未接受积极治疗。在通过口外入路进行骨固定治疗的患者中，夹板固定期间的并发症最为常见。据估计，大多数骨折（73%）在解剖学上适合AO钢板固定。五分之一（22%）有使用坚固内固定的相对指征，59%有绝对指征，主要是由于髁突和下颌体同时骨折或角部区域骨折。
