Vesse M, Blanchard R P
Rev Stomatol Chir Maxillofac. 1980;81(4):242-5.
The authors describe the results of their use of miniaturized plates and screws in mandibular fractures. For the last 25 months they have used this osteosynthetic technique by the endobuccal approach with monocortical fixation of the plates in all displaced mandibular fractures requiring surgical reduction. No post-operative blocking has occurred. The technique was used in 22 patients with 27 osteosyntheses of the fracture focus : 34 plates were applied. Several technical points are emphasized, especially inter-maxillary blocking, and a critical analysis made of the material used, the method of osteosynthesis applied, and the results obtained. These were good but involve only a small number of cases treated by the same surgeon. The method appears to be effective, difficult but feasible, and one which is of incomparable comfort for the patient.
作者描述了他们在下颌骨骨折中使用小型钢板和螺钉的结果。在过去的25个月里，他们通过口内途径对所有需要手术复位的移位下颌骨骨折采用这种骨合成技术，钢板进行单皮质固定。未发生术后咬合障碍。该技术应用于22例患者，骨折部位进行了27次骨合成：使用了34块钢板。强调了几个技术要点，特别是颌间固定，并对所用材料、应用的骨合成方法和获得的结果进行了批判性分析。结果良好，但仅涉及同一外科医生治疗的少数病例。该方法似乎有效，操作困难但可行，对患者来说舒适度无与伦比。
