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下颌骨骨折的治疗效果,取决于治疗开始的时间、骨折片的解剖复位及可靠的固定。其中外科固定方法起着很大作用,它可以缩短颌间固定时间,甚至可不用颌间固定,并可给早期功能负荷创造良好条件。应用口外法作骨间固定在临床上得到广泛的使用,但是从口内进行骨间固定者尚少见报道。作者自1980年开始,在白俄罗斯医师进修学院口腔外科临床上应用口内法作骨间固定,治疗了38名患者。男性29人,女性9人。年龄为16～70岁。骨折的原因主要为交通事故或日常外伤。骨折的部位多半位于下颌角部,12人
The treatment of mandibular fractures depends on the start of the treatment, the anatomic reduction of the fractured plate, and the secure fixation. Surgical fixation methods play a significant role, it can shorten the intermaxillary fixation time, or even without intermaxillary fixation, and to create good conditions for early functional load. The application of extraoral method for interosseous fixation has been widely used in clinical practice, but the interosseous osteosynthesis is still rarely reported. Since 1980, the author has applied the oral method to oral surgery in the Belarusian College of Physicians and Astronautics for the treatment of 38 patients. 29 males and 9 females. The age of 16 to 70 years old. The main reason for the fracture is a traffic accident or daily trauma. Most of the fracture site is located in the mandibular angle, 12 people