下颌角骨折。

Mandibular Angle Fractures.

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, School of Medicine, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA.

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, School of Medicine, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA; Zuckerberg San Francisco General Hospital, San Francisco, CA, USA.

出版信息

Facial Plast Surg Clin North Am. 2022 Feb;30(1):109-116. doi: 10.1016/j.fsc.2021.08.009.

DOI:10.1016/j.fsc.2021.08.009

PMID:34809880

Abstract

Angle fractures are the most common among the mandibular fractures. History and physical examination are crucial in guiding time course and specifics of management. Computed tomography (CT) has become the gold standard for diagnosis of mandible fractures, offering advantages for both surgical planning and assessing dental involvement. Currently the use of a single monocortical plate with the Champy technique for osteosynthesis is used preferentially for noncomminuted fractures of the mandibular angle. Other load-sharing options for plating include strut plates, malleable plates, and geometric or 3D plates. Load-bearing options remain viable for comminuted fractures or other complex circumstances.

摘要

角部骨折是下颌骨骨折中最常见的类型。病史和体格检查对于指导治疗的时间进程和具体方案至关重要。计算机断层扫描（CT）已成为下颌骨骨折诊断的金标准，为手术规划和评估牙齿受累情况提供了优势。目前，对于下颌角非粉碎性骨折，优先使用单皮质板和 Champy 技术进行骨合成。其他用于接骨板的分担负荷的选择包括支柱板、可塑板和几何或 3D 板。对于粉碎性骨折或其他复杂情况，承重选项仍然可行。