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儿童下颌骨骨折的治疗。我们的治疗方法(作者译)

[Treatment of mandibular fractures in children. Our therapeutic approach (author's transl)].

作者信息

Berthouze E, Sagne D, Momege B, Achard R

出版信息

Rev Stomatol Chir Maxillofac. 1980;81(5):285-8.

PMID:6934596
Abstract

This is a study of 15 fractures of the mandible in children. We were able to make the following conclusions: --the usual causes of these fractures are road traffic accidents or accidents at play, --the fracture is usually single (7 cases) multiple (8 cases) and in 13 children out of 15 there was a fracture of the condyle. --the presence of the first dentition and dental germs posed special problems. The treatment is mainly orthopedic, and the fracture is maintained in place by metallic arches which may or may not be completed with a resin dropper. Condyle fractures are treated classically by functional mechanotherapy. The indications of osteosynthesis seem to be limited to cases of very unstable fractures or where these are comminutive. The treatment of sequelae requires techniques very similar to orthodontic apparatuses.

摘要

这是一项针对儿童下颌骨15处骨折的研究。我们能够得出以下结论:——这些骨折的常见原因是道路交通事故或玩耍时发生的意外,——骨折通常为单发(7例)或多发(8例),15名儿童中有13名存在髁突骨折。——乳牙列和牙胚的存在带来了特殊问题。治疗主要是矫形治疗,骨折通过金属弓固定在位,金属弓可能会或不会用树脂滴管辅助完成。髁突骨折通常采用功能性机械疗法治疗。骨固定术的适应证似乎仅限于极不稳定骨折或粉碎性骨折的情况。后遗症的治疗需要与正畸器械非常相似的技术。

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