Wald R M, Abemayor E, Zemplenyi J, Mannai C, Lesavoy M A
Division of Plastic Surgery, Harbor/UCLA Medical Center.
Ann Plast Surg. 1988 May;20(5):409-13. doi: 10.1097/00000637-198805000-00002.
A prospective study was performed to evaluate the efficacy of noncompression miniplates in the repair of mandible fractures treated at a large regional trauma center. The study included 54 cases of all types of adult mandible fractures with the exception of fractures of the condylar neck and ascending ramus. Cases were excluded in which preexisting infection was present. The technique consisted of a transoral approach followed by monocortical juxtaalveolar and subapical osteosynthesis without long-term intermaxillary fixation. Overall, there were 7 complications associated with this technique (13%): 4 infections (7.4%), 1 malunion (1.9%), and 2 mental nerve paresthesias (3.7%). These results compare favorably with those reported in the literature and suggest that mandibular osteosynthesis using miniature malleable plates is a useful and effective method for the repair of selected mandible fractures.
一项前瞻性研究旨在评估非加压微型钢板在某大型区域创伤中心治疗下颌骨骨折中的疗效。该研究纳入了54例除髁突颈部和升支骨折外的所有类型成人下颌骨骨折病例。存在既往感染的病例被排除。该技术包括经口入路，随后进行单皮质牙槽旁和根尖下骨合成，无需长期颌间固定。总体而言，该技术有7例并发症（13%）：4例感染（7.4%），1例骨不连（1.9%），2例颏神经感觉异常（3.7%）。这些结果与文献报道的结果相比具有优势，表明使用微型可锻钢板进行下颌骨骨合成是修复特定下颌骨骨折的一种有用且有效的方法。
