在儿童中治疗斜骨骨复杂骨折的管理
Difei Zhang1, Kun Lv1,2
1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University.
The Journal of craniofacial surgery
|February 26, 2025
概括
这项研究表明,通过口内方法使用可吸收板是一种可行的方法,用于治疗儿童的头骨骨复合 (ZMC) 骨折,恢复面部对称和功能.
科学领域:
- 口腔和牙面部外科手术
- 儿科创伤学 儿科创伤学
- 在外科手术中的生物材料.
背景情况:
- 儿童的肌肉骨复合 (ZMC) 骨折带来了重大的美学和功能挑战,包括面部不对称和视力障碍.
- 由于独特的解剖学考虑,儿童ZMC骨折管理需要专门的方法.
研究的目的:
- 通过口内方法评估使用可吸收板的可行性,以减少和固定儿科患者的ZMC骨折.
- 评估这种治疗小儿ZMC骨折的最小侵入性技术的疗效和安全性.
主要方法:
- 在外科手术中使用了口腔内大突切口.
- 3D打印的原型和内科模型,揭示牙细菌,指导了程序.
- 吸收板被应用于固定在轨下边缘和腹膜膜脊上.
主要成果:
- 手术后观察到成功地恢复了面部外观和对称性.
- 手术后的CT扫描证实了减少的ZMC骨折段的优异对齐.
- 据证实,带膜脊上的钻孔地点没有出现牙细菌的发展.
结论:
- 使用可吸收板的口内方法是治疗儿童骑士和北三组ZMC骨折的合适方法.
- 实现了稳定的骨折减少和固定,保持关键牙结构.
- 显示牙细菌的3D打印模型为儿科ZMC骨折修复提供了宝贵的手术内指导.
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