一种改良的经角周入路用于髁突骨折的显露
A Modified Peri-Angular Approach for Exposure of Condylar Fractures.
作者信息
Kudva Adarsh, Kamath Abhay T, Rajan Jyotsna, D'Souza Charlene
机构信息
Assistant Professor, Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Udupi, Karnataka, India.
Professor and Head, Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Udupi, Karnataka, India.
出版信息
J Oral Maxillofac Surg. 2018 Jul;76(7):1504-1508. doi: 10.1016/j.joms.2018.01.004. Epub 2018 Jan 12.
PURPOSE
To describe a modified peri-angular approach to address subcondylar and condylar neck fractures.
MATERIALS AND METHODS
A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach.
RESULTS
In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation.
CONCLUSION
Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout.
目的
描述一种改良的角周入路，用于处理髁突下和髁突颈部骨折。
材料与方法
采用改良的角周切口，通过腮腺前咬肌下入路到达骨折的髁突。
结果
根据作者的经验，该方法能快速、清晰地显露骨折的髁突基部和颈部骨折，便于切开复位内固定。
结论
尽管角周入路在文献中已有讨论，但作者的改良减少了并发症的发生几率，如边缘神经损伤和腮腺瘘形成，因为在整个过程中神经都能被可视化并保持隔离。
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