Schwenzer N
MMW Munch Med Wochenschr. 1977 Feb 25;119(8):245-50.
Modern treatment of fractured jaws includes the anatomical and functional restoration of the broken mandible and the middle part of the face. The central feature on the one hand, is the reposition and fixation of the fractured skeletal parts in the correct axial line, and on the other hand, occlusal rehabilitation, which is to be considered the criterion of a correct position for the dentigerous fragments. For this purpose, conservative and/or operative measures cone into question, according to the type of fracture and dislocation. The conservative methods enable reposition and fixation of fragments by means of dental fixation dressings. At the present time, wire suture and wire suspension which are always combined with conservative methods as well as plate osteosynthesis are to be mentioned as the most common operative procedures for fractures of the mandible and the middle part of the face.
现代颌骨骨折的治疗包括对下颌骨和面部中部进行解剖学和功能上的修复。一方面,核心要点是将骨折的骨骼部分在正确的轴线上进行复位和固定,另一方面是咬合重建,这被视为含牙碎片正确位置的标准。为此,根据骨折和脱位的类型,可以考虑采取保守和/或手术措施。保守方法通过牙固定敷料实现碎片的复位和固定。目前,钢丝缝合和钢丝悬吊(它们总是与保守方法相结合)以及钢板骨合成是下颌骨和面部中部骨折最常见的手术方法。