钛板外固定+牵引钉腭部横向牵引治疗新鲜上颌骨矢状骨折的应用

›› 2021, Vol. 41 ›› Issue (1): 59-62.

钛板外固定+牵引钉腭部横向牵引治疗新鲜上颌骨矢状骨折的应用

陈虹瑜¹,曲竹丽²,王昭领¹

1. 山东大学口腔医院
2. 山东医学高等专科学校（济南校区）

收稿日期:2020-04-01 修回日期:2020-10-18 出版日期:2021-01-28 发布日期:2021-01-28
通讯作者: 王昭领 E-mail:zhaolingw@163.com

Application of treatment of fresh sagittal maxillary fractures by external fixation via mini-plate system and transversal traction via palatal implants :a case report

Received:2020-04-01 Revised:2020-10-18 Online:2021-01-28 Published:2021-01-28

摘要/Abstract

摘要： 目的　探讨一种操作较为简便、治疗过程更为舒适可靠的治疗新鲜上颌骨矢状骨折的方法。方法　于硬腭部裂隙两侧植入牵引钉行横向弹性牵引复位骨折，恢复咬合关系，以小型钛板行穿黏膜骨折外固定，然后拆除牵引钉，1个月后拆除外固定钛板。结果　该方法用于新鲜上颌骨矢状骨折复位良好，术后易于保持口腔卫生及行使口腔功能。结论　该方法简单易行，效果可靠，舒适度高，值得临床推广。

关键词: 面部创伤, 上颌骨矢状骨折, 骨折外固定, 闭合复位

Abstract: Objective　To explore a more convenient and reliable method for the treatment of fresh sagittal maxillary fractures. Methods　The fractured fragments were medially transversal distracted and reduced by palatal implants which were located in both sides of fr-acture line.Then a min-plate was contoured to the palatal vault and fixed to the palate as external fixator via transmucosa method.After that,palatal implants were removed. The mini-plate stayed in situ for a month to maintain the stability of fractured fragments and was then removed. Results　This method was efficient for the treatment of fresh sagittal maxillary fractures and made it possible to maintain good oral hygiene and function. Conclusion　This method is simple,reliable,comfortable and worthy of clinical promotion. It is suitable for relatively simple sagittal maxillary fractures.

Key words: Facial trauma, Sagittal maxillary fracture, External fixation, Closed reduction

中图分类号:

R782.4

陈虹瑜曲竹丽王昭领. 钛板外固定+牵引钉腭部横向牵引治疗新鲜上颌骨矢状骨折的应用[J]. 口腔医学, 2021, 41(1): 59-62.

参考文献 20

[1]	Manson PN, Shack RB, Leonard LG, et al.Sagittal fractures of the maxilla and palate[J].Plast Reconstr Surg, 1983, 72(4):484-489
[2]	Jain A, Sharma S.Traction with bilateral reverse eyelets: A simple technique for management of sagittal palatal fractures[J].Br J Oral Maxillofac Surg, 2017, 55(9):e58-e59
[3]	Kapse S, Surana S, Shastri AK.Transpalatal wiring for the management of sagittal fracture of the maxillapalate[J].Int J Oral Maxillofac Surg, 2017, 46(8):1059-1060
[4]	Lee RJ, Moon W, Hong C.Effects of monocortical and bicortical mini-implant anchorage on bone-borne palatal expansion using finite element analysis[J].Am J Orthod Dentofac Orthop, 2017, 151(5):887-897
[5]	Chen CH, Wang TY, Tsay PK, et al.A 162-case review of palatal fracture: Management strategy from a 10-year experience[J].Plast Reconstr Surg, 2008, 121(6):2065-2073
[6]	Rai A.dimensional plate in management of sagittal palatal fracture: A novel technique[J].J Maxillofac Oral Surg, 2017, 16(4):497-499
[7]	Hendrickson M, Clark N, Manson PN, et al.Palatal fractures: Classification,patterns,and treatment with rigid internal fixation[J].Plast Reconstr Surg, 1998, 101(2):319-332
[8]	Moss WJ, Kedarisetty S, Jafari A, et al.A review of hard palate fracture repair techniques[J].J Oral Maxillofac Surg, 2016, 74(2):328-336
[9]	Denny AD, Celik N.A management strategy for palatal fractures[J].J Craniofacial Surg, 1999, 10(1):49-57
[10]	Yikilgan ?, Guven N, Ked?c? Alp C, et al.Efficacy of palatal applications on fracture resistance of reattached maxillary central incisors: An in vitro study[J]. Appl Bionics Biomech, 2017, 2017: 9124545.
[11]	Pollock R.The search for the ideal fixation of palatal fractures: Innovative experience with a mini-locking plate[J].Cranial Maxillofac Trauma Reconstruction, 2008, 1(1):015-024
[12]	Kumaravelu C, Thirukonda GJ, Kannabiran P.A novel adjuvant to treat palatal fractures[J].J Oral Maxillofac Surg, 2011, 69(6):e152-e154
[13]	Waldrop J, Dale EL, Halsey J, et al.Palate fracture repair with light-cured resin splint: Technical note[J].J Oral Maxillofac Surg, 2015, 73(10):1977-1980
[14]	Manson PN, Glassman D, Vanderkolk C, et al.Rigid stabilization of sagittal fractures of the maxilla and palate[J].Plast Reconstr Surg, 1990, 85(5):711-717
[15]	Dahiya S, Chitra P, Vikrant, et al.Rapid maxillary expansion to correct palatal fracture malunion: A case report[J].J Clin Diagn Res, 2016, 10(5):Z-D01
[16]	Waldrop J, Dale EL, Halsey J, et al.Palate fracture repair with light-cured resin splint: Technical note[J].J Oral Maxillofac Surg, 2015, 73(10):1977-1980
[17]	Hoppe IC, Halsey JN, Ciminello FS, et al.A single-center review of palatal fractures: Etiology, patterns, concomitant injuries, and management[J]. Eplasty, 2017, 17: e20.
[18]	Wang Z, He Y, Liu Y, et al.Treatment of sagittal maxillary fractures by an innovative method of reversing pre-activated maxillary expanders[J]. Int J Clin Exp Med, 2016; 9(3): 6279-6286.
[19]	Warren A, Applegren N, Muzaffar AR.Traumatic fracture of the premaxilla in the bilateral cleft patient[J].J Craniofacial Surg, 2016, 27(7):1719-1721
[20]	Stephenson E.A new classification of palatal fracture and an algorithm to establish a treatment plan[J].Plast Reconstr Surg, 2002, 109(7):2610-