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儿童进入替牙阶段,恒牙萌出不全,乳牙牙根较短且不牢固,均不利于单颌或(牙合)间固定,切开复位内固定创伤大,易损伤牙胚,且儿童不合作,往往需采用气管插管全麻。我们吸取了中医动静结合治疗骨折的优点,采用颌骨复位后塑料夹板用以颅、颏弹性绷带固定、治疗颌骨开放性、多发性骨折效果满意。 庞某,男,8岁,跃入深沟内,颏部着地而送我院。查体:全身情况尚好、心肺,颏部皮肤擦伤、无张口受限。之牙胚已脱落,舌侧龈及粘膜裂伤,ⅣⅢⅠⅠⅡⅢⅣ松动Ⅱ~(o+),VV龋坏,IV残根、11尚未完全萌出。正常,(牙合)关系错乱、下颌两侧骨折端均向舌侧移位,口底明显肿胀,x拍片示下颌骨右侧颏部多发性骨折。
Children into the stage of tooth, eruption of permanent teeth incomplete, deciduous teeth root is short and not solid, are not conducive to a single jaw or (occlusion) between the fixed, open reduction and internal fixation trauma, tooth injury and easy to damage, and children do not cooperate, Often need to use tracheal intubation general anesthesia. We learned the advantages of traditional Chinese medicine combined with the treatment of fracture, the use of plastic jaw splint to the skull, chin elastic bandage fixation, treatment of jaw open, multiple fracture satisfaction. Pangmou, male, 8 years old, jumped into the deep groove, chin and sent to our hospital. Physical examination: the body condition is still good, heart and lung, chin bruises, no mouth restriction. The tooth germ has been shedding, lingual gingival and mucosal laceration, Ⅳ Ⅲ Ⅰ Ⅱ Ⅲ Ⅳ loosening Ⅱ ~ (o +), VV caries, IV root, 11 has not yet fully erupted. Normal, (occlusion) relationship confusion, both sides of the mandibular fracture were displaced to the lingual side of the mouth was significantly swollen, x-ray film shows the mandible right chin multiple fractures.