中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2016, Vol. 14 ›› Issue (1): 66-68.

• 论著 • 上一篇    下一篇

改良髁突摘除术在成人髁突囊内骨折治疗中的应用

王凡， 杨庆福   

  1. 浙江省永康市第一人民医院 口腔科,浙江 永康 321300
  • 收稿日期:2015-04-09 出版日期:2016-01-20 发布日期:2016-02-01
  • 通讯作者: 杨庆福,E-mail:960418403@qq.com
  • 作者简介:王凡（1980-）,男,硕士,副主任医师,E-mail：434903939@qq.com
  • 基金资助:
    金华市科学技术研究项目（2012-3-095）

Application of improved condylectomy in adult intracapsular fracture of mandibular condyle

WANG Fan, YANG Qing-fu   

  1. Department of Stomatology, Yongkang First People’s Hospital. Yongkang 321300, Zhejiang Province, China
  • Received:2015-04-09 Online:2016-01-20 Published:2016-02-01

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摘要： 目的 探讨改良髁突摘除术在成人髁突囊内骨折中的应用。方法 对33例成人髁突囊内骨折给予髁突摘除术,术后辅以适当的颌间牵引及开口训练。结果 80%以上的患者6个月内恢复正常咬合关系,开口度达35 mm以上;所有患者均未发生永久性面瘫和关节强直。结论 改良髁突摘除术操作简单,适合在基层医院开展,但有严格的适应证,掌握好适应证是治疗成功的关键。

关键词: 髁突摘除术, 髁突骨折, 颌间牵引

Abstract: PURPOSE : To evaluate the application of improved condylectomy in adult intracapsular fracture of mandibular condyle. METHODS : Thirty-three adult patients with intracapsular fracture of mandibular condyle were treated by improved condylectomy, assisted by appropriate intermaxillary traction and mouth opening exercise after operation. RESULTS : More than 80% patients had normal occlusion, and the mouth opening reached over 35 mm 6 months after operation; no permanent facial nerve palsy and ankylosis were noted. CONCLUSIONS : Improved condylectomy is simple and fits in primary hospital, but has strict indication; appropriate selection of indication is the key to success.

Key words: Condylectomy, Condylar fracture, Intermaxillary traction

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