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[陈旧性面中部骨折所致咬合紊乱的治疗]

[Treatment of occlusal disorder caused by old mid-facial fracture].

作者信息

Gao N, Fu K, He W

机构信息

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Mar 9;53(3):201-204. doi: 10.3760/cma.j.issn.1002-0098.2018.03.012.

Abstract

To investigate the treatment results of occlusal disorder caused by old mid-facial fracture. A total of 299 patients aged 26-51 years were enrolled in this study. All cases experienced a delay of treatment over 4 weeks after injury. The old mid-facial fracture was scanned by spiral CT and model surgery conducted. Ostectomy and rigid internal fixation were performed. The wound was healed by first intention without infection and other complications. After 1-24 months of follow-up, 299 patients achieved well-shaped mid-face and the occlusion was recovered with mouth opening of over 2 cm. Model surgery combined with ostectomy and rigid internal fixation can achieve satisfied treatment results in patients with old mid-facial fractures.

摘要

探讨陈旧性面中部骨折所致咬合紊乱的治疗效果。本研究共纳入299例年龄在26 - 51岁之间的患者。所有病例受伤后治疗均延迟超过4周。对陈旧性面中部骨折患者行螺旋CT扫描并进行模型外科手术。实施截骨术及坚强内固定。伤口一期愈合,无感染及其他并发症。经过1 - 24个月的随访,299例患者面中部外形良好,咬合恢复,开口度超过2 cm。模型外科手术联合截骨术及坚强内固定治疗陈旧性面中部骨折患者可取得满意的治疗效果。

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