Shakya Shubhechha, Zhang Xiao, Liu Lei
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Chin J Traumatol. 2020 Apr;23(2):63-70. doi: 10.1016/j.cjtee.2019.08.006. Epub 2019 Nov 1.
Mandibular condylar fractures are among the most common facial fractures and some of the most difficult to manage. Opinions about the management of mandibular condylar fractures differ among surgeons. With the implementation of new technology, an increased understanding of fracture management, and better functional and morphological outcomes reported in the literature, open reduction and internal fixation is becoming many surgeons' preferred choice for the treatment of condylar fractures. Because surgical treatment of such fractures is complex, certain factors must be considered to achieve satisfactory outcomes. In this article, we summarise six key points in the management of mandibular condylar fractures: virtual evaluation of condylar fracture, a suitable surgical approach, good reduction, stable internal fixation, repair of the articular disc, and restoration of the mandibular arch width. We believe that these points will help to improve the prognosis of mandibular condyle fractures.
下颌髁突骨折是最常见的面部骨折之一,也是最难处理的骨折之一。外科医生对下颌髁突骨折的处理意见不一。随着新技术的应用、对骨折处理的认识不断提高以及文献报道的更好的功能和形态学结果,切开复位内固定正成为许多外科医生治疗髁突骨折的首选方法。由于此类骨折的手术治疗复杂,必须考虑某些因素才能取得满意的结果。在本文中,我们总结了下颌髁突骨折处理中的六个关键点:髁突骨折的虚拟评估、合适的手术入路、良好的复位、稳定的内固定、关节盘修复以及下颌弓宽度的恢复。我们相信这些要点将有助于改善下颌髁突骨折的预后。