一种用于改善牙合关系的全面部骨折治疗范例。
A paradigm in panfacial fracture treatment to improved dental occlusion.
作者信息
Widodo Dini Widiarni, Reksodiputro Mirta Hediyati, Hakim Fateha Putri, Hutauruk Syahrial Marsintha, Nasuri Eky, Anatriera Raden Ayu, Rosa Regina Talitha, Hamida Deta
机构信息
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine Universitas, Indonesia.
Department of Oral Maxillofacial Surgery, Faculty of Dentistry Universitas, Indonesia.
出版信息
Trauma Case Rep. 2025 Jan 6;55:101125. doi: 10.1016/j.tcr.2025.101125. eCollection 2025 Feb.
INTRODUCTION
The prevalence of maxillofacial fractures is rising due to increased road traffic accidents, necessitating prompt and effective management, especially in cases of panfacial fractures. The primary objective in treating such fractures is to restore occlusion and stabilize midface buttresses and pillars.
CASE REPORT
This article presents the case of a 56-year-old male who sustained panfacial fractures following a road accident, exhibiting symptoms including facial pain and nosebleeds. The treatment involved the use of arch bars for dental occlusion. Post-operative recovery was complicated by silent aspiration, successfully managed with a tracheostomy. After one month, the patient showed symmetrical facial features with no abnormalities.
CONCLUSION
It is crucial to weigh the benefits and limitations of Maxillomandibular Fixation in relation to the specific fracture types. This case underscores the potential of arch bars in improving outcomes for patients with complex facial fractures.
引言
由于道路交通事故增多，颌面骨折的患病率正在上升，这就需要及时有效的治疗，尤其是在全面部骨折的情况下。治疗此类骨折的主要目标是恢复咬合关系并稳定中面部的支撑结构和支柱。
病例报告
本文介绍了一名56岁男性在道路交通事故后发生全面部骨折的病例，其症状包括面部疼痛和鼻出血。治疗采用牙弓夹板进行牙列咬合固定。术后恢复过程中出现了隐性误吸的并发症，通过气管切开术成功处理。一个月后，患者面部特征对称，未发现异常。
结论
权衡下颌骨固定术对于特定骨折类型的利弊至关重要。该病例强调了牙弓夹板在改善复杂面部骨折患者治疗效果方面的潜力。
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