Cooper J, Rojer C L, Rosenfeld P A
Laryngoscope. 1982 Sep;92(9 Pt 1):1042-8.
Often the otolaryngologist is asked to manage the patient with facial trauma. Mandibular fractures make up 20 to 39% of all facial trauma cases, and thus necessitate a diversified and complete set of management tools. We have selected two seldom discussed modes of therapy for the complicated jaw fracture to present in this paper: 1. external fixation of Joe-Morrison Hall biphasic pins, and 2. mandibular dental appliances--splints. The advantage of the biphasic pin apparatus is that the fracture can be repaired and stabilized at a point remote from the infected fracture site. The high risk patients, endentulous patient, and patients with fractures from gunshot wounds all prove to be more easily managed by using the external appliances. The splint technique eliminates medial or lingual tip rotation and resultant postoperative malocclusion. Endentulous patients, pediatric patients, and those with multiple facial trauma also benefit from this procedure.
耳鼻喉科医生常常需要处理面部创伤患者。下颌骨骨折占所有面部创伤病例的20%至39%，因此需要一套多样化且完整的治疗工具。在本文中，我们选择了两种很少被讨论的复杂颌骨骨折治疗方式：1. 乔 - 莫里森·霍尔双相针外固定，2. 下颌牙用矫治器——夹板。双相针装置的优点在于骨折可以在远离感染骨折部位的地方进行修复和固定。事实证明，高危患者、无牙患者以及枪伤骨折患者使用外部矫治器更容易处理。夹板技术可消除内侧或舌侧尖端旋转以及由此导致的术后咬合不正。无牙患者、儿科患者以及多处面部创伤患者也能从该手术中获益。
