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7年间使用内牵引装置治疗下颌髁突骨折

The Treatment of Mandibular Condylar Fractures Using an Internal Distraction Device during a 7-year Period.

作者信息

Takada Taichi, Oshima Naoya, Iwashina Yuki, Ozaki Mine

机构信息

Department of Plastic Surgery, Kyorin University School of Medicine, Tokyo, Japan.

出版信息

J Plast Reconstr Surg. 2024 Mar 1;3(2):71-78. doi: 10.53045/jprs.2023-0046. eCollection 2024 Apr 27.

DOI:10.53045/jprs.2023-0046
PMID:40104162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11912985/
Abstract

OBJECTIVES

Mandibular condylar fractures are common, accounting for approximately 25%-50% of all mandibular fractures. However, the optimal therapeutic method remains controversial. We have used an internal distraction device for treating mandibular condylar fractures for the past 7 years. The aim of this study was to analyze our clinical outcomes.

METHODS

We retrospectively analyzed the medical charts of 62 patients with mandibular condylar fractures (84 joints) treated by internal distraction device fixation from April 2015 to June 2022 at our hospital.

RESULTS

The patients were 34 males and 28 females (mean age of 49.7 years at surgery). At 3 months postoperatively, the mean mouth opening width was 42.3 mm. Postoperative complications included temporary facial nerve paralysis of a temporal branch (6 patients) and breakage of the device during attachment (22 patients, 24 joints). In all cases in which the device was broken, it was removed within a few weeks, and satisfactory results in terms of mouth opening were obtained.

CONCLUSIONS

This method is recommended as a treatment option for mandibular condylar fractures because of its simplicity and satisfactory results compared with other methods.

摘要

目的

下颌髁突骨折很常见，约占所有下颌骨骨折的25%-50%。然而，最佳治疗方法仍存在争议。在过去7年中，我们使用了一种内牵张装置来治疗下颌髁突骨折。本研究的目的是分析我们的临床结果。

方法

我们回顾性分析了2015年4月至2022年6月在我院接受内牵张装置固定治疗的62例下颌髁突骨折患者（84个关节）的病历。

结果

患者中男性34例，女性28例（手术时平均年龄49.7岁）。术后3个月时，平均开口度为42.3mm。术后并发症包括颞支暂时性面神经麻痹（6例患者）和装置在附着过程中折断（22例患者，24个关节）。在所有装置折断的病例中，均在几周内将其取出，并且在开口方面获得了满意的结果。

结论

由于该方法与其他方法相比具有操作简单且效果满意的特点，因此推荐将其作为下颌髁突骨折的一种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/77ccddcc2d3b/jprs-03-02-0071-g012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/77ccddcc2d3b/jprs-03-02-0071-g012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/895ed350a42a/jprs-03-02-0071-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/a8e75e7b0470/jprs-03-02-0071-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/19201057a4d0/jprs-03-02-0071-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/7cb917a70380/jprs-03-02-0071-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/5dd2ed476273/jprs-03-02-0071-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11912985/77ccddcc2d3b/jprs-03-02-0071-g012.jpg

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本文引用的文献

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2
Fractures of the Mandibular Condyle.下颌骨髁突骨折
Facial Plast Surg. 2019 Dec;35(6):623-626. doi: 10.1055/s-0039-1700888. Epub 2019 Nov 29.
3
Review of Endoscopic Repair of Mandible Fractures.
J Craniofac Surg. 2019 Mar/Apr;30(2):489-492. doi: 10.1097/SCS.0000000000005262.
4
Complications in the treatment of mandibular condylar fractures: Surgical versus conservative treatment.下颌髁突骨折治疗中的并发症：手术治疗与保守治疗对比
Ann Anat. 2018 Mar;216:60-68. doi: 10.1016/j.aanat.2017.10.007. Epub 2017 Dec 6.
5
The Epidemiology of Mandibular Fractures in the United States, Part 1: A Review of 13,142 Cases from the US National Trauma Data Bank.美国下颌骨骨折的流行病学，第1部分：对美国国家创伤数据库中13142例病例的回顾。
J Oral Maxillofac Surg. 2015 Dec;73(12):2361-6. doi: 10.1016/j.joms.2015.04.032. Epub 2015 May 11.
6
Surgical treatment of adult mandibular condylar fractures provides better outcomes than closed treatment: a systematic review and meta-analysis.成人下颌髁突骨折的手术治疗比保守治疗效果更好：一项系统评价与Meta分析
J Oral Maxillofac Surg. 2015 Mar;73(3):482-93. doi: 10.1016/j.joms.2014.09.027. Epub 2014 Oct 12.
7
A retrospective study of temporomandibular joint ankylosis secondary to surgical treatment of mandibular condylar fractures.一项关于下颌髁突骨折手术治疗继发颞下颌关节强直的回顾性研究。
Br J Oral Maxillofac Surg. 2014 Mar;52(3):270-4. doi: 10.1016/j.bjoms.2014.01.002. Epub 2014 Jan 30.
8
How to improve retromandibular transmasseteric anteroparotid approach for mandibular condylar fractures: our clinical experience.如何改进经下颌后肌-咬肌前腮腺入路治疗下颌髁突骨折：我们的临床经验。
Int J Oral Maxillofac Surg. 2013 Apr;42(4):464-9. doi: 10.1016/j.ijom.2012.12.012. Epub 2013 Feb 8.
9
A clinical investigation on disc displacement in sagittal fracture of the mandibular condyle and its association with TMJ ankylosis development.髁突矢状骨折伴盘移位的临床研究及其与 TMJ 强直发展的关系。
Int J Oral Maxillofac Surg. 2011 Feb;40(2):134-8. doi: 10.1016/j.ijom.2010.11.011. Epub 2010 Dec 15.
10
Outcomes of open versus closed treatment of mandibular subcondylar fractures: a prospective randomized study.下颌髁突骨折开放治疗与闭合治疗的疗效：一项前瞻性随机研究。
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