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本文引用的文献

1
The Le Fort system revisited: Trauma velocity predicts the path of Le Fort I fractures through the lateral buttress.再探勒福系统：创伤速度可预测勒福Ⅰ型骨折经外侧支柱的骨折路径。
Plast Surg (Oakv). 2015 Spring;23(1):40-2. doi: 10.4172/plastic-surgery.1000899.
2
Completion of nonreducible Le Fort fractures by Le Fort I osteotomy: sometimes an inevitable choice to avoid postoperative malocclusion.通过Le Fort I截骨术完成不可复位的Le Fort骨折：有时是避免术后错牙合畸形的必然选择。
J Craniofac Surg. 2015 Jan;26(1):e59-61. doi: 10.1097/SCS.0000000000001178.
3
Panfacial fractures: an approach to management.面中部骨折：治疗方法
Oral Maxillofac Surg Clin North Am. 2013 Nov;25(4):649-60. doi: 10.1016/j.coms.2013.07.010. Epub 2013 Aug 27.
4
Why should we start from mandibular fractures in the treatment of panfacial fractures?在治疗颌面骨折时，我们为什么要从下颌骨骨折开始？
J Oral Maxillofac Surg. 2012 Jun;70(6):1386-92. doi: 10.1016/j.joms.2011.11.006.
5
The difficult Le Fort I osteotomy and downfracture: a review with consideration given to an atypical maxillary morphology.复杂的勒福Ⅰ型截骨术及下颌骨骨折：对非典型上颌形态的回顾性研究
J Plast Reconstr Aesthet Surg. 2008 Sep;61(9):1029-33. doi: 10.1016/j.bjps.2008.02.011. Epub 2008 Jun 18.
6
Panfacial fractures: analysis of 33 cases treated late.面中份骨折：33例晚期治疗病例分析
J Oral Maxillofac Surg. 2007 Dec;65(12):2459-65. doi: 10.1016/j.joms.2007.06.625.
7
Role of surgical reduction of condylar fractures in the management of panfacial fractures.髁突骨折手术复位在颌面骨折治疗中的作用。
Br J Oral Maxillofac Surg. 2000 Oct;38(5):472-6. doi: 10.1054/bjom.1999.0236.
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Outcome measurement of the treatment of maxillary fractures: a prospective analysis of 100 consecutive cases.
Br J Plast Surg. 1999 Oct;52(7):519-23. doi: 10.1054/bjps.1999.3159.
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Subunit principles in midface fractures: the importance of sagittal buttresses, soft-tissue reductions, and sequencing treatment of segmental fractures.
Plast Reconstr Surg. 1999 Apr;103(4):1287-306; quiz 1307.
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Residual complications in patients with major middle third facial fractures.
Int J Oral Surg. 1980 Aug;9(4):259-66. doi: 10.1016/s0300-9785(80)80032-9.

勒福Ⅰ型骨折的处理

Management of Le Fort I Fractures.

作者信息

Cho Jin-Yong, Ryu Jaeyoung

机构信息

Department of Oral & Maxillofacial Surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea.

Department of Dentistry, School of Medicine, Gachon University, Incheon, Republic of Korea.

出版信息

Craniomaxillofac Trauma Reconstr. 2024 Dec;17(4):NP225-NP229. doi: 10.1177/19433875241278796. Epub 2024 Aug 23.

DOI:10.1177/19433875241278796
PMID:39553802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11562992/
Abstract

STUDY DESIGN

A retrospective study.

OBJECTIVE

This retrospective study aims to analyze the results of Le Fort I fracture treatment, with a focus on addressing malocclusion related to the fractures.

METHODS

The study included 43 patients diagnosed with Le Fort I fractures who underwent open reduction and internal fixation. Demographic data, causes of trauma, accompanying facial bone fractures, treatment methods, and complications were analyzed. Fisher's exact test was employed to assess the association between fractures and malocclusion.

RESULTS

Postoperative complications included occlusal disorder (6 cases), sensory disturbance (4 cases), and facial deformation (6 cases). Condylar fractures showed a statistically significant association with occlusal disorders ( = 0.044). Surgeon variability did not significantly impact occlusal outcomes ( = 0.25).

CONCLUSIONS

Proper management of Le Fort I fractures requires a thorough understanding of surgical principles and consideration of concomitant fractures. Achieving anatomical reduction based on occlusion is crucial for successful outcomes, and additional Le Fort I osteotomy may be considered in challenging cases.

摘要

研究设计

一项回顾性研究。

目的

这项回顾性研究旨在分析Le Fort I型骨折的治疗结果，重点关注解决与骨折相关的咬合不正问题。

方法

该研究纳入了43例被诊断为Le Fort I型骨折并接受切开复位内固定术的患者。分析了人口统计学数据、创伤原因、伴发的面部骨折、治疗方法及并发症。采用Fisher精确检验评估骨折与咬合不正之间的关联。

结果

术后并发症包括咬合紊乱（6例）、感觉障碍（4例）和面部畸形（6例）。髁突骨折与咬合紊乱之间存在统计学上的显著关联（P = 0.044）。外科医生的差异对咬合结果没有显著影响（P = 0.25）。

结论

正确处理Le Fort I型骨折需要全面了解手术原则并考虑伴发骨折。基于咬合实现解剖复位对取得成功结果至关重要，在具有挑战性的病例中可考虑额外进行Le Fort I型截骨术。