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小儿面部骨折术中颌间固定的一种简单方法

A Simple Method of Transoperative Maxillomandibular Fixation in Pediatric Facial Fractures.

作者信息

Rodrigues Moacyr Tadeu Vicente, Schueng Filipe E A, Mendes Bruno Coelho, Vale Daniel Santiago, Souza Fabrício Guimarães de, Nóia Cláudio Ferreira

机构信息

Piracicaba School of Dentistry, University of Campinas- UNICAMP, Piracicaba.

Department of Dentistry, São Lucas University Center- UNISL, Porto Velho.

出版信息

J Craniofac Surg. 2021 Jun 1;32(4):e375-e376. doi: 10.1097/SCS.0000000000007279.

Abstract

Maxillomandibular fixation in pediatric facial fractures is quite challenging to be achieved, especially in mid-mixed dentition. Traditional well established intermaxillary devices have a lot of limitations in these patients. This article presents a case of a 9-year-old female patient with a displaced mandibular fracture in which orthodontic buttons were used for transoperative maxillomandibular fixation followed by internal fixation after adequate occlusion reestablishment and fracture reduction. The method showed high efficacy and celerity, allowing the success of treatment, with satisfactory evolution of the patient.

摘要

在小儿面部骨折中实现颌间固定颇具挑战性,尤其是在混合牙列中期。传统的成熟颌间装置在这些患者中有诸多局限性。本文介绍了一例9岁女性患者,其下颌骨骨折移位,术中使用正畸纽扣进行颌间固定,在充分重建咬合和复位骨折后进行内固定。该方法显示出高效和快速,使治疗取得成功,患者病情进展令人满意。

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