ElMinshawi Ahmed, Abdelfattah Salah, Mubarak Fahmy
Department of Craniomaxillofacial Surgery, Nasser Institute for Research and Treatment, Cairo, Egypt.
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University, Alabasya, Cairo, Egypt.
Craniomaxillofac Trauma Reconstr. 2019 Mar;12(1):81-84. doi: 10.1055/s-0038-1670673. Epub 2018 Sep 28.
This article aims to present the outcomes of treating anterior mandibular fractures using Herbert's screw. A total of 10 patients were treated for fractures of anterior mandible by open reduction and internal fixation using the Herbert screw. The patients were collected starting from June 2016 to November 2017, at the Department of Craniomaxillofacial Surgery, Nasser Institute for Research and Treatment, Cairo, and Faculty of Dentistry, Ain Shams University, Cairo, Egypt. The follow-up plan was done to evaluate the postoperative clinical outcomes for malocclusion, neurosensory status, hardware failure, malunion/ nonunion, pain, and edema. There were no intraoperative or postoperative complications, except for one case where the Herbert screw was insufficient and needed additional 2.0-mm miniplate at the superior border. The postoperative orthopantomograms revealed satisfactory reduction and fixation of the fractures of all cases. The Herbert screw fixation of anterior mandibular fracture is a reliable technique but sensitive and surgeon dependent and needs further clinical investigation.
本文旨在介绍使用Herbert螺钉治疗下颌前部骨折的结果。共有10例下颌前部骨折患者通过使用Herbert螺钉进行切开复位内固定治疗。这些患者于2016年6月至2017年11月在埃及开罗纳赛尔研究与治疗研究所颅颌面外科以及开罗艾因夏姆斯大学牙科学院收集。实施随访计划以评估术后错牙合、神经感觉状态、内固定失败、骨不连/骨愈合不良、疼痛和水肿等临床结果。除1例Herbert螺钉固定不充分，需要在上颌缘额外使用2.0毫米微型钢板外，无术中或术后并发症。术后曲面断层片显示所有病例骨折复位及固定效果满意。Herbert螺钉固定下颌前部骨折是一种可靠的技术，但具有敏感性且依赖术者，需要进一步的临床研究。
