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在颌骨骨折中,下颌骨髁颈骨折发生率较高,有些学者认为保守疗法可获得一定疗效。对下颌骨髁颈骨折有明显移位或成角畸形的病例,我科于1990年至1995年采用克氏针内固定髁颈骨折48例,收到理想效果。 临床资料 本组病例48例,男42例,女6例,年龄25～63岁。单侧骨折40例,其中25例伴有下颌骨其他部位骨折;双侧骨折8例。髁突向内倾斜成角21例,向外倾斜成角19例。 骨折行克氏针骨间内固定术。手术方法简述如下,在局部浸润麻醉后,采用下颌角下方切口,从下颌支后缘绕过下颌角,距下颌下缘20mm处进行切开,逐层切开皮肤,皮下组织,颈阔肌,嚼肌下端附着
In the jaw fracture, the incidence of mandibular condyle neck fracture higher, some scholars believe that conservative treatment can get a certain effect. On the mandibular condyle fracture of the obvious shift or angular deformity cases, our department from 1990 to 1995 with Kirschner wire fixation of 48 cases of condylar fractures, received the desired effect. Clinical data The group of 48 patients, 42 males and 6 females, aged 25 to 63 years. 40 cases of unilateral fracture, of which 25 cases with other parts of the mandible fracture; bilateral fracture in 8 cases. Twenty condylar condyle tilt inward, angled outward in 19 cases. Fracture Kirschner wire fixation. Surgery method is briefly described below, after partial infiltration anesthesia, incision below the mandibular angle, from the mandibular branch to bypass the mandibular angle, from the lower edge of mandibular incision 20mm, layer by layer cut the skin, subcutaneous tissue, platysma , Lower cheek muscle attachment