Kellman R M
Laryngoscope. 1984 Dec;94(12 Pt 1):1560-7.
To evaluate the results of compression plating in the repair of mandibular fractures, a retrospective analysis of mandibular fractures repaired at Upstate Medical Center in the past 3 years was performed. Only patients treated as inpatients were included. A total of 68 cases were reviewed, and follow-up data were available in 59. Of these, 18 had been repaired using A-O compression plating techniques, and the remaining 41 were treated using interosseous wiring, intermaxillary fixation, external fixation, soft diet, or any combination of these. Nonunion and malocclusion were considered major complications, while all other complications were considered minor. Using these criteria, there were no major complications in fractures treated with compression plates, and there were 6 minor complications in 4 patients (22% of patients). Using the more traditional techniques, there were 13 major complications, 6 malocclusions and 7 non-unions, or an incidence of 32%, and 5 minor complications in 4 patients (10% of patients). These findings suggest that compression plating is a useful and highly effective technique for repair of mandibular fractures. The technique generally obviates intermaxillary fixation and dental splints, particularly in the edentulous patient. The main disadvantage is the need for 2 open procedures.
为评估加压钢板修复下颌骨骨折的效果，我们对过去3年在北部医疗中心接受下颌骨骨折修复治疗的病例进行了回顾性分析。仅纳入住院治疗的患者。共回顾了68例病例，其中59例有随访数据。其中，18例采用A - O加压钢板技术修复，其余41例采用骨间结扎、颌间固定、外固定、软食或这些方法的联合治疗。骨不连和咬合不正被视为主要并发症，而所有其他并发症视为次要并发症。根据这些标准，采用加压钢板治疗的骨折无主要并发症，4例患者出现6例次要并发症（占患者的22%）。采用更传统技术治疗的患者有13例主要并发症，6例咬合不正和7例骨不连，发生率为32%，4例患者出现5例次要并发症（占患者的10%）。这些结果表明，加压钢板是修复下颌骨骨折的一种有用且高效的技术。该技术通常无需颌间固定和牙弓夹板，尤其是在无牙患者中。主要缺点是需要进行两次开放性手术。
