Ochs M W, Tucker M R
Department of Oral and Maxillofacial Surgery, University of Pittsburg Medical Center, PA.
J Oral Maxillofac Surg. 1993 Jan;51(1 Suppl 1):42-55. doi: 10.1016/0278-2391(93)90008-2.
Open reduction and internal fixation have become routine in facial fracture treatment. Methodical evaluation and treatment planning should be based on the patient's injuries, extenuating factors, and the surgeon's experience. After initial treatment, patients with facial trauma may require orthodontic alignment of teeth, endodontic therapy, osteotomies, implants, vestibuloplasties, and scar revisions to achieve an acceptable functional and cosmetic result. The oral and maxillofacial surgeon is best qualified to coordinate and help deliver this interdisciplinary approach to treatment.
切开复位内固定术已成为面部骨折治疗的常规方法。系统的评估和治疗计划应基于患者的损伤情况、减轻因素以及外科医生的经验。初始治疗后,面部创伤患者可能需要进行牙齿正畸排列、牙髓治疗、截骨术、植入物植入、前庭成形术和瘢痕修复,以获得可接受的功能和美容效果。口腔颌面外科医生最有资格协调并协助实施这种跨学科的治疗方法。