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移位的关节内小儿骨骨折的手术治疗

Aleš Vesnaver¹, Vojko Didanovič¹, Anže Birk¹

¹Department of Maxillofacial and Oral Surgery, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

|January 7, 2026

概括

移位儿科冠状骨折的手术治疗有效地恢复了关节 (TMJ) 解剖学和功能. 这种方法促进了对称的面部生长,避免了与保守管理相关的长期不良影响.

科学领域:

整形外科手术整形外科手术
儿科牙科儿科牙科
面外科手术面外科手术

背景情况:

儿童骨骨折的保守治疗可能会对关节 (TMJ) 和面部骨架产生不良影响.
对移位的关节内小儿骨骨折进行手术干预的分析.

研究的目的:

评估儿童移位性关节内骨折的手术治疗结果.
评估手术对TMJ功能,面部对称性和状骨生长的影响.

主要方法:

在患有位移的关节内骨骨折的儿童身上,对关节盘进行了注意的开放性减少和内部固定 (ORIF).
手术后的评估包括临床评估面部对称性,口腔开口,关节疼痛,闭塞,以及放射性评估骨折愈合和肌生长.

主要成果:

11名儿童 (16例骨折) 的手术治疗导致所有患者的正确闭塞和最大口腔开口 (MMO).
大多数患者实现了对称的生长和关节的移动性,只有一个患者出现了轻微的不对称性和有限的下运动.
轻微的并发症包括暂时的面部神经衰弱和硬件问题,所有这些都得到了解决或成功管理.

结论:

手术治疗有效地恢复骨和软组织解剖学在移位的关节内儿科冠状腺骨折.
这使得TMJ功能保持不变,肌和面部骨架的对称生长.
外科手术是治疗复杂儿科骨折的一个可行的选择.

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