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目的:探讨耳下切口穿腮腺入路行髁突低位骨折坚固内固定术的临床效果。方法:通过耳下切口经腮腺入路,对21例22侧髁突低位骨折病例施行开放复位坚强内固定术。术后对患者开口度,咬合关系,面神经功能等进行临床疗效分析。结果:21例患者术后咬合关系均恢复良好,开口度最大4.7 cm,最小3.3 cm,无张口偏斜病例。有2例出现暂时性面瘫,经过治疗后2月内恢复。手术3月后复查CT,显示所有病例髁突骨折均解剖复位。结论:耳下切口经过腮腺入路手术治疗髁突低位骨折,伤口隐蔽,术后瘢痕小,且能达到解剖复位和坚强内固定的要求。
Objective: To investigate the clinical effect of subtrochanteric incision with parotid approach and low condyle fracture fixation. Methods: Open reduction and internal fixation was performed in 21 cases of lower condylar fractures in 21 cases through parotid approach through the incision. Postoperative patients with open mouth, occlusion, facial nerve function clinical efficacy analysis. Results: The occlusal relationship of 21 patients recovered well, the maximal opening was 4.7 cm, the smallest was 3.3 cm, and there was no case of mouth opening deviation. There are 2 cases of temporary facial paralysis, recovered within 2 months after treatment. CT review after surgery in March showed that all cases of condylar fractures were anatomic reduction. CONCLUSION: Under-ear incision is treated by the parotid approach for the treatment of low condylar fractures, hidden wounds and small post-operative scars, and can meet the requirements of anatomic reduction and internal fixation.