牵引钉植入与牙弓夹板行颌间牵引固定治疗单纯髁状突骨折的疗效比较

Abstract

Abstract: To compare and evaluate the clinical efficacy of the application of two types of the intermaxillary elastic traction used in the simply mandibular condylar fracture. Methods Patients who suffered from simply mandibular condylar fracture were randomly divided into pulling nail implantation group (group A, 23 patients) and arch splint group (group B, 21 patients). The occlusion relationship, the time of operation and DI, GI, CPITN indexes were tested. Healing efficacy of these two methods, and the difficulty of operation as well as changes of periodontal status of two groups were compared. Results Group A and group B both achieved good clinical efficacy, and the difference in the maximum opening degree and temporomandibular joint between two groups were not statistically significant, but the group B had the advantage of shorter operation time（P<0.05）. The differences in DI, GI, CPITN indexes were statistically significant during and after intermaxillary traction (P<0.05). Conclusion It can be concluded that pulling nail implantation is a new minimally invasive, time-saving, safe and reliable therapy of the simply mandibular condylar fracture. It is worth extending for its clinical application.

Key words: Condylar fracture, pulling nail implantation, arch splint intermaxillary elastic traction

CLC Number:

R782.4

References

[1]Nicholas Z,Miehael M,Constintine M,et al.Fractures of the mandibular condyle: A review of 466 cases[J].J Cramaxi Surg,2006,34(7):421-432
[2]Norhort SE,Krishnan V,Pedersen S,et al.Pediatric condylar fractures:a long-term follow up study of 55patients [J][J].Oral maxillofac Surg,1993,51(12):1302-
[3] Hariharan V S,Nandlar B.Esthetic splint-a novel concept for management of bilateral condylar fractures[J].J Clin Pediatr Dent,2012,37(1):19-24
[4]王靖虓，方一鸣，邓勇，等.髁突矢状骨折的特性和治疗[J].口腔医学,2008,28(2):97-99
[5]邹兆菊，章魁华.下颌骨髁突骨折的治疗[J].中华创伤杂志,1990,6(3):154-155
[6]Hayward JS，Scott RF.Fractures of the mandibular condyle[J].J Oral Max-illofac Surg,1993,51(1):57-59
[7]Stacey DH,Doyle JF,et al.Management of mandible fractures[J].J Plast Reconstr Surg,2006,117(3):48-60
[8]潘剑，范丹，陈绍维，等.成人髁状突骨折的治疗[J].临床口腔医学杂志,2003,19(5):296-298
[9]B W,et al.Closed reduction and internal fixation of displaced unstable lateral condylar fractures of the humerus in children[J].J Bone Joint Surg,2008,90(12):2673-2681
[10]Shimizu T,Mizushiri M,Fukunishi K,et al.Full mouth reconstruction with dental implants in the conservative treatment of bilateral condylar fracture: a clinical letter[J].J Oral Implantol,2012,37(1):1324-1329
[11]Ellis E.Throckmorton GsTreatment of mandibular condylar procers fractures:biological considerations CJJ[J].. J Oral Maxillofac Surg,2005,63(2):115-134
[12]鲁伟，汤文山，张骏诚，等.下颌骨髁状突骨折120例[J].中华创伤杂志,2002,18:633-634
[13]Niedzielska,Iwona A， Tomczyk-Wziatek,et al.Fractures of the mandibular condylar processes-literature review[J].cent.eur.j.med,2013,8(2):244-249
[14]Terai H,Shimahara M.Closed treatment of condylar fractures by inter maxillary fixation with thermoforming plates[J].Br J Oral Maxillofac Surg,2004,42(1):61-63
[15] Dimitroulis G.Management of fractured mandibles without the use of intermaxillary wire fixation[J].J Oral Maxillofac Surg,2002,60(12):1435-1439
[16]Coburn DG,Kennedy DW,Hodder SC.Complications with intermaxillary fixation screws in the management of fractured mandibles[J].Br Oral Maxillofac Surg,2002,40(3):241-243

A comparative study on the curative effect between pulling nail and arch splint for the intermaxillary traction of simply mandibular condylar fracture

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	. Clinical Evaluation of Modified Tragus Edge and Supraparotid Approach for Intracapsular Condylar Fractures [J]. , 2022, 42(11): 990-994.
[2]	. A cone-beam computed tomography study on the anatomical position of mandibular accessory foramen for adults in Sichuan [J]. , 2022, 42(2): 130-135.
[3]	. Application and prosepect of digital technology in the oral and maxillofacial trauma [J]. , 2022, 42(1): 36-41.
[4]	. Study on the degradation of 3D printed silk fibroin/polyvinyl alcohol/nano hydroxyapatite scaffold in vivo [J]. , 2021, 41(11): 966-971.
[5]	. The study of theoretical condyle distance and preliminarily application in mandibular reduction and reconstruction [J]. , 2021, 41(5): 445-449.
[6]	. Application of treatment of fresh sagittal maxillary fractures by external fixation via mini-plate system and transversal traction via palatal implants :a case report [J]. , 2021, 41(1): 59-62.
[7]	. Application of mandibular positioning and connecting guided by three-dimensional printing technique in mandibular reconstruction [J]. , 2020, 40(8): 731-737.
[8]	Ting WEI. Effect of 3D printing technology on mandibular reconstruction：A meta-analysis [J]. , 2020, 40(3): 232-238.
[9]	. The clinical application of Foley pressurized bladders in zygomatic fractures [J]. , 2020, 40(1): 48-51.
[10]	. A new treatment for condylar neck fracture with small incision reduction and internal fixation [J]. , 2019, 39(10): 907-911.
[11]	. A preliminary study of model establishment and early treatment of maxillofacial gunshot wound and blast injury [J]. , 2019, 39(10): 895-901.
[12]	. Application of demineralized dentin matrix material in the reconstruction of jaw bone defect [J]. , 2019, 39(9): 835-839.
[13]	. The application of surgery guides to precise reduction of mandibular comminuted fractures [J]. , 2019, 39(8): 714-718.
[14]	. Application of MIMICS in the zygomatic-orbital-maxillary frature [J]. , 2019, 39(7): 620-623.
[15]	. Application of poly(lactic-co-glycolic acid) in bone tissue engineering scaffold materials [J]. , 2019, 39(2): 167-170.