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目的:探讨髁突颈部以上粉碎性骨折行髁突摘除术的可行性及适应证。方法 :回顾我院2007年9月—2011年9月间因外伤导致髁突骨折患者61例,其中完全行手术内固定治疗30例,保守治疗15例,髁突颈部以上粉碎性骨折患者16例(18侧)予以髁突摘除术,术后随访5～48个月,观察疗效。结果:16例(18侧)患者中,止血纱布排异反应导致创口愈合不良1例,咬合偏斜1例,开口轻度受限1例,前牙开1例,其余患者无明显咬合不适,牙尖窝关系良好,面容基本对称。结论:对于颌面部发育基本完成的患者,其髁突颈部以上粉碎性骨折采取髁突摘除术是可行的治疗方法,术后可能出现咬合偏斜、前牙开及开口受限,进一步治疗后可恢复正常。
Objective: To investigate the feasibility and indications of condylar excision for the comminuted above the condylar neck. Methods: 61 cases of condylar fracture caused by trauma in our hospital from September 2007 to September 2011 were retrospectively reviewed. Among them, 30 cases were treated with internal fixation, 15 cases were conservatively treated, and patients with condylar comminuted fracture above the neck were 16 Cases (18 sides) were condylar excision, followed up for 5 to 48 months, observe the effect. Results: In 16 patients (18 sides), hemostatic gauze rejection resulted in wound healing failure in 1 case, occlusion skew in 1 case, limited opening in 1 case, anterior open incision in 1 case, and the remaining patients had no obvious malaise , Good relationship between the cusp, face basically symmetrical. CONCLUSIONS: It is feasible to treat congenital comminuted neck with comminuted condyles in patients with basically maxillofacial development. Incision skew may occur after operation, and the anterior opening and opening may be limited After treatment can return to normal.