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目的探讨口腔颌面部骨折及并发症的诊治要点和注意的问题。方法回顾性分析39例口腔颌面部骨折并发全身性其他损伤病例。有严重并发症患者,要首先抢救生命,及早治疗颌面部骨折,处理骨折行清创,手术复位,内固定,恢复面部外形及咬颌关系,分别采用单颌固定,颌间牵引固定,微型钛板坚固内固定。结果本组38例口腔颌面部患者咬合关系恢复正常,骨折愈合良好,张口度、面部外形基本正常。1例复杂骨折入院时因伴脑挫伤昏迷,伤后3周病情稳定,骨折己错位愈合,张口度、咬合关系、面部外形均有重度障碍。结论口腔颌面部骨折处理的原则是首先抢救生命,在此基础上早期复位、内固定,恢复面部外形及咬颌关系。
Objective To investigate the main points of diagnosis and treatment of oral and maxillofacial fractures and complications. Methods Retrospective analysis of 39 cases of oral and maxillofacial fractures complicated by other systemic injury cases. Patients with serious complications, we must first save lives, early treatment of maxillofacial fractures, debridement treatment of fractures, surgical reduction, internal fixation, restoration of facial contour and bite jaw relations, respectively, with a single jaw fixation, intermaxillary traction fixation, miniature Titanium plate strong internal fixation. Results The occlusal relationship of 38 patients in oral and maxillofacial region returned to normal, the fractures healed well, the mouth opening and facial appearance were basically normal. One case of complex fracture hospitalized with cerebral contusion coma, 3 weeks after injury in stable condition, the fracture has been dislocation healing, mouth opening, occlusion relationship, facial appearance are severe disorders. Conclusion The principle of oral and maxillofacial fracture treatment is to save lives first, and then to reposition, internal fixation and restore facial contour and bite-jaw relationship on the basis of this.