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探索下颌骨骨折的切口选择：前庭入路和龈沟入路综述

Exploring Incision Options for Mandibular Fractures: A Review of Vestibular and Crevicular Approach.

作者信息

Chittoria Archita, Kumar Raj, Malviya Yogendra, Adurti Aparajita, Agarwal Aabhash A

机构信息

Oral and Maxillofacial Surgery, Jaipur Dental College, Jaipur, IND.

Oral and Maxillofacial Surgery, School of Dental Sciences, Sharda University, Noida, IND.

出版信息

Cureus. 2024 Aug 12;16(8):e66735. doi: 10.7759/cureus.66735. eCollection 2024 Aug.

DOI:10.7759/cureus.66735
PMID:39268296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11392524/
Abstract

The approach to mandibular fractures remains a contentious topic, with the vestibular and crevicular approaches being prominent incision options, each offering distinct advantages. This review explores the comparative benefits of crevicular incisions over the vestibular approach, focusing on ease of surgical access, better fracture reduction, and enhanced soft tissue healing. Along with a thorough literature review, a case report is also presented to exemplify the successful implementation of crevicular incision in treating a mandibular fracture, emphasizing on its key advantages, which include decreased risk of nerve injury and enhanced patient comfort, underscoring the clinical benefits of this approach. By synthesizing existing literature and case report findings, this review supports the adoption of crevicular incision as a preferred approach for various mandibular fracture cases. This approach offers clinicians a reduced surgical time, good soft tissue adaptation, improved surgical outcomes, and patient well-being.

摘要

下颌骨骨折的治疗方法仍然是一个有争议的话题，前庭切口和龈沟切口是主要的切口选择，每种方法都有独特的优势。本综述探讨了龈沟切口相对于前庭切口的比较优势，重点关注手术入路的便利性、更好的骨折复位以及软组织愈合的改善。除了全面的文献综述外，还介绍了一个病例报告，以例证龈沟切口在治疗下颌骨骨折中的成功应用，强调其关键优势，包括神经损伤风险降低和患者舒适度提高，突出了这种方法的临床益处。通过综合现有文献和病例报告的结果，本综述支持将龈沟切口作为各种下颌骨骨折病例的首选方法。这种方法为临床医生提供了缩短手术时间、良好的软组织适应性、改善手术效果以及患者福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/3e65498e4b77/cureus-0016-00000066735-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/a922b88061bd/cureus-0016-00000066735-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/2c93059726e7/cureus-0016-00000066735-i02.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/3a1c12a328cb/cureus-0016-00000066735-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/6700c71008df/cureus-0016-00000066735-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/f0fd8323a86a/cureus-0016-00000066735-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/efaed6f147b5/cureus-0016-00000066735-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/3e11986094fd/cureus-0016-00000066735-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/3e65498e4b77/cureus-0016-00000066735-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/a922b88061bd/cureus-0016-00000066735-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/2c93059726e7/cureus-0016-00000066735-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/ffd8bc3ae106/cureus-0016-00000066735-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/dcda3ce48011/cureus-0016-00000066735-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/3a1c12a328cb/cureus-0016-00000066735-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/6700c71008df/cureus-0016-00000066735-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/f0fd8323a86a/cureus-0016-00000066735-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/efaed6f147b5/cureus-0016-00000066735-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/3e11986094fd/cureus-0016-00000066735-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/379b/11392524/3e65498e4b77/cureus-0016-00000066735-i10.jpg

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本文引用的文献

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Comparison of two incisions for open reduction and internal fixation of mandibular body fractures: A randomised controlled clinical trial evaluating the surgical outcome.下颌骨体部骨折切开复位内固定两种切口的比较：一项评估手术效果的随机对照临床试验
Chin J Traumatol. 2019 Feb;22(1):34-40. doi: 10.1016/j.cjtee.2018.11.002. Epub 2018 Dec 28.
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