Barthélémy I, Boutault F, Paoli J R, Dodard L, Gasquet F, Fabié M
Service de chirurgie maxillo-faciale et de stomatologie, Hôpital Rangueil, Toulouse.
Rev Stomatol Chir Maxillofac. 1996;97(2):84-8.
We present 114 cases of mandibular angle fractures treated by screwed miniplates placed through a transbuccal incision with transbuccal trochar instrumentation. Usually patients were young men who suffered traffic accidents. The mean hospitalization time was 7 days. 94.5% of the patients healed without incident, no malocclusion complication was observed. Two postoperative hematomas required surgical drainage without healing complication. One non union required removal of the miniplate and maxillo-mandibular immobilization. 2 temporary postoperative hypoaesthesiae were observed. One patient presented a pericoronary infection of a third impacted molar, four months after surgery, but the fracture was healed. The comparison of the results with the others in the literature confirms the reliability of this technique.
我们呈现了114例经颊穿刺套管器械辅助下经颊切口置入微型钛板治疗的下颌角骨折病例。患者通常为遭遇交通事故的年轻男性。平均住院时间为7天。94.5%的患者顺利愈合，未观察到咬合紊乱并发症。2例术后血肿需要手术引流，未出现愈合并发症。1例骨不连需要取出微型钛板并进行颌间固定。观察到2例术后暂时性感觉减退。1例患者在术后4个月出现第三磨牙冠周感染，但骨折已愈合。将结果与文献中的其他研究进行比较，证实了该技术的可靠性。
