Cheynet F, Aldegheri A, Chossegros C, Bourezak Z, Blanc J L
Service de Stomatologie et Chirurgie Maxillo-Faciale, Hôpital de la Timone, Marseille.
Rev Stomatol Chir Maxillofac. 1997 Dec;98(5):288-94.
Various approaches have been proposed for surgical treatment of displaced condylar fractures included submandibular approach, preauricular approach, rhytidectomy approach or intraoral approach. Since 1992, we used a short retromandibular approach to treat displaced subcondylar fractures with a miniplate. When open reduction and osteosynthesis are required, the retro-mandibular approach is an easy and safe technique for displaced condylar fractures. The aim of this article was to describe the short retro-mandibular approach. Indications for surgical treatment, surgical approach and techniques of osteosynthesis for condylar fractures are discussed.
对于移位髁突骨折的手术治疗,已经提出了多种方法,包括下颌下入路、耳前入路、除皱术入路或口内入路。自1992年以来,我们采用下颌后入路的短切口,使用微型钢板治疗移位的髁突下骨折。当需要切开复位内固定时,下颌后入路是治疗移位髁突骨折的一种简便且安全的技术。本文旨在描述下颌后入路的短切口。文中还讨论了髁突骨折的手术治疗适应证、手术入路及内固定技术。