CAJ | 학술논문

目的：??探讨双板坚固内固定在下颌骨髁突骨折手术中的应用及效果评价。方法??对28例下颌骨髁突骨折患者行2块钛板坚固内固定术，术后随访拍摄全景片或三维CT，对患者的咬合关系、张口度、张口型、钛板及骨折情况等进行评价。结果??28例患者术后骨折固位良好；咬合关系、张口度、张口型恢复正常；无1例出现钛板变形或断裂、骨折移位；2例出现面神经轻度瘫痪，予以神经营养药物治疗后，3月内恢复正常；2例术后1月出现颞颌关节弹响，取出钛板后好转。结论??双板坚固内固定治疗下颌骨髁突骨折是一种较为理想的方法。
목적：??탐토쌍판견고내고정재하합골과돌골절수술중적응용급효과평개。방법??대28례하합골과돌골절환자행2괴태판견고내고정술，술후수방박섭전경편혹삼유CT，대환자적교합관계、장구도、장구형、태판급골절정황등진행평개。결과??28례환자술후골절고위량호；교합관계、장구도、장구형회복정상；무1례출현태판변형혹단렬、골절이위；2례출현면신경경도탄탄，여이신경영양약물치료후，3월내회복정상；2례술후1월출현섭합관절탄향，취출태판후호전。결론??쌍판견고내고정치료하합골과돌골절시일충교위이상적방법。
Objective This study aims to explore and evaluate internal fixation with double titanium plates in mandibular condylar fracture. Methods Twenty-eight patients with mandibular condylar fracture were treated by rigid internal fixation with double titanium plates. The effects of the treatment on occlusion, mouth opening, and titanium plate rupture were evaluated by pantomograms or 3D CT. Results Good retention was observed in all 28 patients with mandibular condylar fracture. Occlusion and mouth opening returned to normal. None of the patients experienced titanium plate rupture or fracture displacement. Two patients suffered from mild facial nerve injury but recovered within 3 months after neurotrophic drug treatment. Two patients suffered from temporo-mandibular joint disease but improved after plate removal. Conclusion Rigid internal fixation with double titanium plates is an ideal treatment for mandibular condylar fracture.