Chao Ding Ming, Jin Shi, Khatri Kalu Singh, Long Zhao Jin, Lei Tian, Lisheng He
Department of Oral and Maxillofacial Reconstruction, Fourth Military Medical University, China.
Department of Oral and Maxillofacial Reconstruction, Jiamusi University, China.
Trauma Case Rep. 2017 Mar 18;9:10-12. doi: 10.1016/j.tcr.2017.01.014. eCollection 2017 Jun.
Facial fracture management dates as early as Hippocratic era. Comminuted mandibular fractures are one of the challenging clinical condition requiring high surgical expertise to achieve a good functional and esthetic outcome. In presence of infection and other facial fractures managing comminuted mandibular fracture becomes more challenging. Here we present a case of grossly comminuted and infected mandibular fracture with delayed presentation managed by using maxillary distractor as stabilizing agent. Using a maxillary distractor for managing a fractured mandible has been seldom reported in literature. Current case report gives idea to practicing clinician about the possibility of treatment beyond the established principles.
面部骨折的治疗可追溯到希波克拉底时代。粉碎性下颌骨骨折是具有挑战性的临床病症之一，需要高超的外科专业知识才能实现良好的功能和美学效果。在存在感染和其他面部骨折的情况下，处理粉碎性下颌骨骨折变得更具挑战性。在此，我们报告一例严重粉碎性且感染的下颌骨骨折病例，该病例为延迟就诊，通过使用上颌骨牵张器作为稳定装置进行治疗。在文献中，很少报道使用上颌骨牵张器治疗下颌骨骨折。当前的病例报告为临床医生提供了关于超出既定原则进行治疗可能性的思路。
