Zaki H S, Dantini D C, Aramany M A
J Prosthet Dent. 1983 Nov;50(5):672-6. doi: 10.1016/0022-3913(83)90208-1.
Maintenance of an adequate airway, control of bleeding, and neurologic evaluation should take precedence over treatment of facial injuries. Comminuted mandibular fractures are rare and require the use of complex splints. Severe lacerations and bone displacement accompany comminuted mandibular fractures. Extraoral facial splints constructed from donor facial moulages can be used along with intraoral splints for these patients. Preaccident photographs and radiographs are excellent aids to help realign the fractured segments. The use of an extraoral "donor" splint in conjunction with an intraoral splint to stabilize comminuted mandibular fracture helps to eliminate unnecessary gross removal of mandibular bone.
保持气道通畅、控制出血和进行神经学评估应优先于面部损伤的治疗。粉碎性下颌骨骨折很少见，需要使用复杂的夹板。粉碎性下颌骨骨折伴有严重裂伤和骨移位。由供体面部模型制作的口外面部夹板可与口内夹板一起用于这些患者。事故前的照片和X光片是帮助重新对齐骨折段的极佳辅助手段。使用口外“供体”夹板与口内夹板相结合来稳定粉碎性下颌骨骨折，有助于避免不必要的下颌骨大块切除。
