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[颅面外科中的微型钢板内固定术]

[Miniplate osteosynthesis in craniofacial surgery].

作者信息

Mühlbauer W, Anderl H

出版信息

Handchir Mikrochir Plast Chir. 1983 Jun;15(2):77-82.

PMID:6884867
Abstract

The easily malleable Champy miniplates are suitable for fixation not only in the viscero- but also in the neurocranium in craniofacial surgery of complex craniofacial deformities. The miniplate osteosynthesis stabilizes the skeletal segments in their new position and function so securely that intermaxillary fixation is no longer necessary. This modality of internal fixation is applicable even in small children and infants allowing total osteotomy and mobilisation of the cranium and the facial skeleton at this early age. The miniplates may also prevent restenosis after radical stripping of prematurely closed sutures. The plates and screws are usually removed 6 to 12 months later through small stab incisions. The craniofacial surgery groups in Munich and Innsbruck have successfully applied this form of fixation in 10 selected children with severe malformations, their age ranging from 3 months to 14 years. The technique and results are demonstrated in appropriate examples. The pros and cons of the miniplate osteosynthesis versus other methods of fixation are discussed. During a period of nearly 3 years (1980-1982) no complications have been observed.

摘要

易于塑形的Champy微型钢板不仅适用于复杂颅面畸形颅面外科手术中的内脏颅骨固定,也适用于脑颅骨固定。微型钢板接骨术能将骨骼段稳固地固定在其新的位置并发挥功能,因此不再需要颌间固定。这种内固定方式甚至适用于幼儿和婴儿,使得在这个早期阶段就能进行全颅骨切开术以及颅骨和面骨的移动。微型钢板还可防止过早闭合的缝线彻底剥离后再狭窄。钢板和螺钉通常在6至12个月后通过小切口取出。慕尼黑和因斯布鲁克的颅面外科团队已成功地将这种固定方式应用于10例选定的严重畸形儿童,年龄从3个月至14岁。通过适当的实例展示了该技术及结果。讨论了微型钢板接骨术与其他固定方法相比的优缺点。在近3年(1980 - 1982年)期间未观察到并发症。

相似文献

1
[Miniplate osteosynthesis in craniofacial surgery].[颅面外科中的微型钢板内固定术]
Handchir Mikrochir Plast Chir. 1983 Jun;15(2):77-82.
2
The Luhr fixation system for the craniofacial skeleton.用于颅面骨骼的鲁尔固定系统。
Clin Plast Surg. 1989 Jan;16(1):41-8.
3
Radical treatment of craniofacial anomalies in infancy and the use of miniplates in craniofacial surgery.
Clin Plast Surg. 1987 Jan;14(1):101-11.
4
[Plastic surgery correction of combination craniofacial malformations. A survey for the obstetrician].[联合颅面畸形的整形手术矫正。给产科医生的一项调查]
Geburtshilfe Frauenheilkd. 1989 Nov;49(11):931-9. doi: 10.1055/s-2008-1036113.
5
The use of Champy miniplates for osteosynthesis in craniofacial deformities and trauma.
Plast Reconstr Surg. 1986 May;77(5):729-36. doi: 10.1097/00006534-198605000-00005.
6
Form, function, growth, and craniofacial surgery.形态、功能、生长与颅面外科手术。
Otolaryngol Clin North Am. 1981 Nov;14(4):783-825.
7
The use of biodegradable plates and screws to stabilize facial fractures.使用可生物降解的接骨板和螺钉来固定面部骨折。
J Oral Maxillofac Surg. 2006 Jan;64(1):31-9. doi: 10.1016/j.joms.2005.09.010.
8
[Craniofacial surgery].[颅面外科手术]
Tidsskr Nor Laegeforen. 1996 Jan 20;116(2):230-4.
9
[Osteosynthesis using miniaturized screws on plates in facial and cranial surgery. Indications and results in 400 cases].[面部和颅骨手术中使用微型钢板螺钉进行骨合成。400例病例的适应症及结果]
Ann Chir Plast. 1977;22(4):261-4.
10
Computer aided planning device for preoperative bending of osteosynthesis plates.
Stud Health Technol Inform. 2000;70:46-52.

引用本文的文献

1
Anatomical studies and a correlative management of facial skeleton and skull base injuries with bone plate fixation.
Arch Otorhinolaryngol. 1988;245(2):61-8. doi: 10.1007/BF00481437.