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使用微型钢板和单皮质螺钉治疗一名9岁儿童下颌角骨折:一项临床挑战

Management of Mandibular Angle Fracture in a 9-year-old with Miniplate and Monocortical Screws: A Clinical Challenge.

作者信息

Shunmugavelu Karthik, Subramaniam Kumaravel

机构信息

Consultant, Department of Dentistry and Faciomaxillary Surgery, Kasthuri Multispeciality Hospital, Chennai, Tamil Nadu, India.

出版信息

Int J Clin Pediatr Dent. 2017 Oct-Dec;10(4):391-393. doi: 10.5005/jp-journals-10005-1471. Epub 2017 Feb 27.

Abstract

The main characteristic feature of the pediatric mandible is that of decreased dimension, which leads to compromises in the open reduction and internal fixation (ORIF). In the dental segment, the cervically bulbous short stature primary teeth might act an obstacle during the maxillomandibular fixation conventionally. An increased osteogenic potential of bones favors rapid consolidation and remodeling in the affected region. The mixed dentition of the ugly duckling stage adds more burden while stabilizing the fractured segments. The main goal of the clinician is to achieve and restore the facial appearance and function. Hereby, we present a clinical challenge depicting a 9-year-old male with mandibular angle fracture managed by miniplate and monocortical screws fixation. Shunmugavelu K, Subramaniam K. Management of Mandibular Angle Fracture in a 9-year-old with Miniplate and Monocortical Screws: A Clinical Challenge. Int J Clin Pediatr Dent 2017;10(4):391-393.

摘要

小儿下颌骨的主要特征是尺寸减小,这导致切开复位内固定(ORIF)受到影响。在牙列部分,颈部呈球根状的短小乳牙在传统的颌间固定过程中可能会成为障碍。骨骼成骨潜力的增加有利于在受影响区域快速巩固和重塑。丑小鸭阶段的混合牙列在稳定骨折段时增加了更多负担。临床医生的主要目标是实现并恢复面部外观和功能。在此,我们展示了一个临床案例,描述了一名9岁男性下颌角骨折,采用微型钢板和单皮质螺钉固定进行治疗。Shunmugavelu K, Subramaniam K. 9岁儿童下颌角骨折采用微型钢板和单皮质螺钉治疗:一项临床挑战。《国际临床儿科牙科学杂志》2017年;10(4):391 - 393。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5387/5789145/2216efcd1f23/ijcpd-10-391-g001.jpg

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