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一种采用经面部穿针固定治疗小儿双侧髁突骨折伴颞下颌关节外侧脱位的新方法。

A novel treatment of pediatric bilateral condylar fractures with lateral dislocation of the temporomandibular joint (TMJ) using transfacial pinning.

作者信息

Morrison Kerry A, Flores Roberto L

机构信息

Hansjörg Wyss Department of Plastic Surgery, NY University Langone Health, New York, NY, USA.

出版信息

Case Reports Plast Surg Hand Surg. 2023 Aug 3;10(1):2242498. doi: 10.1080/23320885.2023.2242498. eCollection 2023.

DOI:10.1080/23320885.2023.2242498
PMID:37547270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10402857/
Abstract

A 3-year-old patient sustained a tripartite mandibular fracture, including bilateral condylar fractures with lateral dislocation of the left condyle and symphyseal fracture. Staged lower jaw reconstruction with closed reduction of the laterally dislocated condyle, transfacial pinning between the mandibular angles, MMF using circummandibular wiring and intermaxillary fixation screws was performed.

摘要

一名3岁患者发生了下颌骨三联骨折，包括双侧髁突骨折，其中左侧髁突向外侧脱位以及下颌骨正中联合骨折。通过对向外侧脱位的髁突进行闭合复位、在下颌角之间经面部穿针固定、使用下颌骨周围钢丝环绕和颌间固定螺钉进行颌间固定，分阶段进行下颌骨重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/629db71d96a6/ICRP_A_2242498_F0006_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/8749c8cd5b04/ICRP_A_2242498_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/7aabbf1a02b7/ICRP_A_2242498_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/09e541eb196d/ICRP_A_2242498_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/cf63ad605d5f/ICRP_A_2242498_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/02cf3fd181b4/ICRP_A_2242498_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/629db71d96a6/ICRP_A_2242498_F0006_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/8749c8cd5b04/ICRP_A_2242498_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/7aabbf1a02b7/ICRP_A_2242498_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/09e541eb196d/ICRP_A_2242498_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/cf63ad605d5f/ICRP_A_2242498_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/02cf3fd181b4/ICRP_A_2242498_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4753/10402857/629db71d96a6/ICRP_A_2242498_F0006_C.jpg

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本文引用的文献

1
Combined Symphyseal and Condylar Fractures: Considerations for Treatment in Growing Pediatric Patients.耻骨联合与髁突骨折：生长发育期儿童患者治疗相关注意事项。
Plast Reconstr Surg. 2021 Jul 1;148(1):51e-62e. doi: 10.1097/PRS.0000000000008055.
2
Management of Mandible Fracture in 150 Children Across 7 Years in a US Tertiary Care Hospital.7 年间美国一家三级护理医院收治的 150 例儿童下颌骨骨折的处理。
JAMA Facial Plast Surg. 2019 Sep 1;21(5):414-418. doi: 10.1001/jamafacial.2019.0312.
3
Surgical Management of Double/Triple Mandibular Fractures Involving the Condylar Segment: Our Perspective.
累及髁突节段的双/三下颌骨骨折的手术治疗：我们的观点。
J Int Soc Prev Community Dent. 2018 Jan-Feb;8(1):87-91. doi: 10.4103/jispcd.JISPCD_428_17. Epub 2018 Jan 29.
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Infected Dental Follicle Secondary to Mandibular Parasymphyseal Fracture: A Case Report.
J Clin Pediatr Dent. 2016 Winter;40(1):76-80. doi: 10.17796/1053-4628-40.1.76.
5
Width-Controlling Fixation of Symphyseal/Parasymphyseal Fractures Associated With Bilateral Condylar Fractures With 2 2.0-mm Miniplates: A Retrospective Investigation of 45 Cases.使用两块2.0毫米微型钢板对伴有双侧髁突骨折的耻骨联合/耻骨旁骨折进行宽度控制固定：45例回顾性研究
J Oral Maxillofac Surg. 2016 Feb;74(2):315-27. doi: 10.1016/j.joms.2015.09.030. Epub 2015 Oct 3.
6
Patterns of Pediatric Mandible Fractures in the United States.美国儿童下颌骨骨折模式
JAMA Facial Plast Surg. 2016 Jan-Feb;18(1):37-41. doi: 10.1001/jamafacial.2015.1456.
7
An institutional experience in the management of pediatric mandibular fractures: A study of 74 cases.小儿下颌骨骨折治疗的机构经验：74例病例研究
J Craniomaxillofac Surg. 2015 Sep;43(7):995-9. doi: 10.1016/j.jcms.2015.03.020. Epub 2015 Apr 21.
8
Treatment of mandibular symphyseal fracture combined with dislocated intracapsular condylar fractures.下颌骨联合部骨折合并髁状突囊内脱位骨折的治疗
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9
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