CAJ | 학술논문

目的：：探讨改良耳屏切口对治疗髁突骨折的疗效。方法：从2011年1月~2012年1月，对15例20侧髁突骨折通过改良的耳屏切口入路行小型钛板坚固内固定。术后随访6个月，从患者的开口度、咬合关系、面神经功能、有无涎瘘、影像学检查面部瘢痕进行疗效分析。结果：15例患者开口度正常，咬合关系正常；其中5例出现暂时性面神经损伤症状(术后1~2月恢复正常)。术后CT提示髁突均完全解剖复位，无涎瘘，患者对切口瘢痕隐蔽性满意。结论：改良耳屏切口入路切口隐蔽，手术创伤小，可暴露空间大，面神经损伤机率小，可达到髁突骨折解剖复位内固定的要求。
목적：：탐토개량이병절구대치료과돌골절적료효。방법：종2011년1월~2012년1월，대15례20측과돌골절통과개량적이병절구입로행소형태판견고내고정。술후수방6개월，종환자적개구도、교합관계、면신경공능、유무연루、영상학검사면부반흔진행료효분석。결과：15례환자개구도정상，교합관계정상；기중5례출현잠시성면신경손상증상(술후1~2월회복정상)。술후CT제시과돌균완전해부복위，무연루，환자대절구반흔은폐성만의。결론：개량이병절구입로절구은폐，수술창상소，가폭로공간대，면신경손상궤솔소，가체도과돌골절해부복위내고정적요구。
Objective: To investigate the effect of improved tragus incision and RIF in the treatment of mandibular condyle fractures. Methods: 20 mandibular condyle fractures of 15 patients from January 2011 to January 2012 were retrospectively reviewed. All the patients were treated with improved tragus incision and ORIF. After surgery, they were followed-up for six months. And the maximum mouth opening occluding relation, facial nerve function, salivary fistula, 3D-CT and facial scar were analyzed. Results: All patients showed good occlusion and maximum mouth opening. 5 cases had temporary facial paralysis but returned to normal after 1~2 months, CT scans revealed that all condyles had completely anatomical reduction. There was no salivary fistula, and patients were satified with the scar concealment. Conclusion: Improved tragus incision is hidden and minimum. This approach is less likely to cause facial nerve damage and can achieve the reqiurement of the anatomical reduction and internal fixation of condylar fractures.