• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

累及髁突节段的双/三下颌骨骨折的手术治疗：我们的观点。

Surgical Management of Double/Triple Mandibular Fractures Involving the Condylar Segment: Our Perspective.

作者信息

Nayak Sunil S, Kamath Abhay Taranath

机构信息

Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Head of Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

J Int Soc Prev Community Dent. 2018 Jan-Feb;8(1):87-91. doi: 10.4103/jispcd.JISPCD_428_17. Epub 2018 Jan 29.

DOI:10.4103/jispcd.JISPCD_428_17
PMID:29629334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5853048/
Abstract

A series of surgical cases operated in our unit are considered to analyze and evaluate the different techniques and sequencing employed in the surgical management of double/triple mandibular fractures involving a condylar fracture. Deviating from the normal sequence of reducing and fixing the dentate segment first, we addressed the condylar segment first. A combination of different approaches for different cases such as a periangular with a vestibular, a preauricular and a retromandibular with a vestibular were used according to the type of fractures. The accessibility to one difficult case with a medially displaced condyle was facilitated by using Hegar's uterine dilators. In all cases, good anatomical reduction was achieved with stable occlusion and without any signs of facial nerve impairment. The 'Condyle first' approach in the surgical management of double/triple mandibular fractures, is a reliable and efficient technique.

摘要

我们单位进行了一系列手术病例，以分析和评估在涉及髁突骨折的双/三下颌骨骨折手术治疗中采用的不同技术和顺序。与先复位并固定齿状段的正常顺序不同，我们首先处理髁突段。根据骨折类型，针对不同病例采用了不同方法的组合，如角周联合前庭入路、耳前入路以及下颌后入路联合前庭入路。对于一例髁突向内移位的疑难病例，使用黑加子宫扩张器便于手术操作。在所有病例中，均实现了良好的解剖复位，咬合稳定，且无任何面神经损伤迹象。在双/三下颌骨骨折的手术治疗中，“先处理髁突”方法是一种可靠且有效的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/69cb7bd742f3/JISPCD-8-87-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/784d0151bd36/JISPCD-8-87-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/02642e115f3d/JISPCD-8-87-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/e12d99776d44/JISPCD-8-87-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/10f265686dae/JISPCD-8-87-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/422e2b48a23b/JISPCD-8-87-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/7fb755c52bd0/JISPCD-8-87-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/b44b655e55df/JISPCD-8-87-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/28647ba91491/JISPCD-8-87-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/859ad9be7bb5/JISPCD-8-87-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/b35f954e2071/JISPCD-8-87-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/69cb7bd742f3/JISPCD-8-87-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/784d0151bd36/JISPCD-8-87-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/02642e115f3d/JISPCD-8-87-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/e12d99776d44/JISPCD-8-87-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/10f265686dae/JISPCD-8-87-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/422e2b48a23b/JISPCD-8-87-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/7fb755c52bd0/JISPCD-8-87-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/b44b655e55df/JISPCD-8-87-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/28647ba91491/JISPCD-8-87-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/859ad9be7bb5/JISPCD-8-87-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/b35f954e2071/JISPCD-8-87-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ab/5853048/69cb7bd742f3/JISPCD-8-87-g011.jpg

相似文献

1
Surgical Management of Double/Triple Mandibular Fractures Involving the Condylar Segment: Our Perspective.累及髁突节段的双/三下颌骨骨折的手术治疗：我们的观点。
J Int Soc Prev Community Dent. 2018 Jan-Feb;8(1):87-91. doi: 10.4103/jispcd.JISPCD_428_17. Epub 2018 Jan 29.
2
Does the surgical approach for treating mandibular condylar fractures affect the rate of seventh cranial nerve injuries? A systematic review and meta-analysis based on a new classification for surgical approaches.手术入路治疗下颌骨髁突骨折是否会影响第七颅神经损伤的发生率？基于新的手术入路分类的系统评价和荟萃分析。
J Craniomaxillofac Surg. 2018 Mar;46(3):398-412. doi: 10.1016/j.jcms.2017.10.024. Epub 2017 Nov 14.
3
Analysis between Retromandibular and Periangular Transmasseteric Approach for Fixation of Condylar Fracture - A Prospective Study.下颌后和角周经咬肌入路治疗髁突骨折的固定分析——一项前瞻性研究
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):353-360. doi: 10.4103/ams.ams_28_20. Epub 2020 Dec 23.
4
Facial nerve injuries associated with the retromandibular transparotid approach for reduction and fixation of mandibular condyle fractures.与下颌后凹经腮腺入路用于下颌髁突骨折复位和固定相关的面神经损伤。
J Craniomaxillofac Surg. 2015 Apr;43(3):402-7. doi: 10.1016/j.jcms.2014.12.009. Epub 2014 Dec 20.
5
Comparison of preauricular approach versus retromandibular approach in management of condylar fractures.耳前入路与下颌后入路在髁突骨折治疗中的比较。
J Maxillofac Oral Surg. 2012 Dec;11(4):435-41. doi: 10.1007/s12663-012-0350-1. Epub 2012 Apr 4.
6
The retromandibular transparotid approach for reduction and rigid internal fixation using two locking miniplates in mandibular condylar neck fractures.下颌髁突颈部骨折采用下颌后颞下途径切开复位并用两块锁定微型钢板坚强内固定。
Int J Oral Maxillofac Surg. 2014 Feb;43(2):177-84. doi: 10.1016/j.ijom.2013.08.008. Epub 2013 Sep 23.
7
Analysis of two different surgical approaches for fractures of the mandibular condyle.下颌骨髁突骨折两种不同手术方法的分析
Indian J Dent Res. 2012 Jul-Aug;23(4):463-8. doi: 10.4103/0970-9290.104950.
8
Extraoral approach to mandibular condylar fractures: our experience with 100 cases.下颌髁突骨折的口外入路：我们100例病例的经验
J Craniomaxillofac Surg. 2014 Jul;42(5):e186-94. doi: 10.1016/j.jcms.2013.08.005. Epub 2013 Sep 13.
9
Preauricular transmasseteric anteroparotid approach for extracorporeal fixation of mandibular condyle fractures.耳前经咬肌前腮腺前入路用于下颌髁突骨折的体外固定
Indian J Plast Surg. 2016 Jan-Apr;49(1):59-65. doi: 10.4103/0970-0358.182254.
10
[The retromandibular approach in fractures of the mandibular condyle].[下颌髁突骨折的下颌后入路]
Rev Stomatol Chir Maxillofac. 1997 Dec;98(5):288-94.

引用本文的文献

1
A novel treatment of pediatric bilateral condylar fractures with lateral dislocation of the temporomandibular joint (TMJ) using transfacial pinning.一种采用经面部穿针固定治疗小儿双侧髁突骨折伴颞下颌关节外侧脱位的新方法。
Case Reports Plast Surg Hand Surg. 2023 Aug 3;10(1):2242498. doi: 10.1080/23320885.2023.2242498. eCollection 2023.

本文引用的文献

1
Sialocele: A rare sequlae of transparotid approach in subcondylar fracture management.涎囊肿：髁突骨折治疗中经腮腺入路罕见的后遗症。
Natl J Maxillofac Surg. 2016 Jul-Dec;7(2):201-204. doi: 10.4103/0975-5950.201363.
2
Mandibular Subcondylar Fractures: A Review on Treatment Strategies.下颌髁突骨折：治疗策略综述
Electron Physician. 2016 Oct 25;8(10):3144-3149. doi: 10.19082/3144. eCollection 2016 Oct.
3
Is the Retromandibular Transparotid Approach a Reliable Option for the Surgical Treatment of Condylar Fractures?
J Oral Maxillofac Surg. 2017 Feb;75(2):348-356. doi: 10.1016/j.joms.2016.10.003. Epub 2016 Oct 13.
4
Prevalence, pattern, etiology, and management of maxillofacial trauma in a developing country: a retrospective study.发展中国家颌面部创伤的患病率、模式、病因及管理：一项回顾性研究
J Korean Assoc Oral Maxillofac Surg. 2016 Aug;42(4):174-81. doi: 10.5125/jkaoms.2016.42.4.174. Epub 2016 Aug 24.
5
Etiology, treatment, and complications of mandibular fractures.下颌骨骨折的病因、治疗及并发症
J Craniofac Surg. 2015 May;26(3):611-5. doi: 10.1097/SCS.0000000000001273.
6
Surgical sequence of reduction in double mandibular fractures treatment.双侧下颌骨骨折治疗中的复位手术顺序。
Ann Ital Chir. 2014 May-Jun;85(3):207-13.
7
The mandibular symphysis as a starting point for the occlusal-level reconstruction of panfacial fractures with bicondylar fractures and interruption of the maxillary and mandibular arches: report of two cases.以下颌联合作为髁突双骨折及上颌和下颌牙弓中断的面中部骨折咬合平面重建的起点：2例报告
J Craniomaxillofac Surg. 2014 Jun;42(4):e51-6. doi: 10.1016/j.jcms.2013.06.002. Epub 2014 Feb 18.
8
Current Concepts in the Mandibular Condyle Fracture Management Part II: Open Reduction Versus Closed Reduction.下颌髁突骨折治疗的当前概念 第二部分：切开复位与闭合复位
Arch Plast Surg. 2012 Jul;39(4):301-8. doi: 10.5999/aps.2012.39.4.301. Epub 2012 Jul 13.
9
Why should we start from mandibular fractures in the treatment of panfacial fractures?在治疗颌面骨折时，我们为什么要从下颌骨骨折开始？
J Oral Maxillofac Surg. 2012 Jun;70(6):1386-92. doi: 10.1016/j.joms.2011.11.006.
10
Evaluation of surgical treatment in mandibular condyle fractures.下颌骨髁突骨折的手术治疗评估。
J Craniomaxillofac Surg. 2012 Dec;40(8):647-53. doi: 10.1016/j.jcms.2011.10.029. Epub 2011 Nov 12.