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使用CBCT对下颌孔间骨折舌侧张开情况下不同接骨方式的比较评估:一项前瞻性研究。

Comparative evaluation of different osteosynthesis modalities with respect to lingual splaying in mandibular interforaminal fractures using CBCT: A prospective study.

作者信息

Mittal Gaurav, Garg Ritesh, Rathi Abhishek, Ghatak Debi Prasad, Biswas Jhilik

机构信息

Department of Oral and Maxillofacial Surgery, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2024 Jan-Apr;15(1):100-105. doi: 10.4103/njms.njms_5_23. Epub 2024 Mar 19.

Abstract

INTRODUCTION

The management of interforaminal fracture can prove to be challenging because of its unique anatomy and muscular forces. Often, lingual splaying has been found either postoperatively or even during the procedures in such fractures and can be challenging when it comes to managing them. Various modalities such as miniplates, lag screws, and three-dimensional (3D) miniplates have been utilized to manage these fractures. This article compares these three modalities in the management of lingual splaying.

MATERIAL AND METHODS

Thirty patients were allotted randomly to either of the aforementioned modalities randomly in this prospective study. The patients were operated and followed up for the period of 6 months.

RESULTS

It was found that no significant difference exists between the modalities in terms of reduction in lingual splay.

CONCLUSION

All three modalities have different ventures to offer. A larger sample size study may be warranted to elucidate the obtained results.

摘要

引言

椎间孔间骨折的处理颇具挑战性,因其解剖结构独特且存在肌肉作用力。此类骨折在术后甚至手术过程中常出现舌侧张开,处理起来颇具难度。已采用多种方式,如微型钢板、拉力螺钉和三维(3D)微型钢板来处理这些骨折。本文比较这三种方式在处理舌侧张开方面的效果。

材料与方法

在这项前瞻性研究中,30例患者被随机分配至上述任何一种方式组。对患者进行手术并随访6个月。

结果

发现在舌侧张开的复位方面,各方式之间不存在显著差异。

结论

所有三种方式都有不同的风险。可能需要开展更大样本量的研究以阐明所得结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fde3/11057597/6fb043129e28/NJMS-15-100-g001.jpg

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