摘要： 目的： 介绍一种新的治疗髁突颈部骨折的手术入路。方法：通过改良的耳周小切口，经腮腺入路，对31例36侧髁突骨折行小型钛板坚强内固定术。术后随访3个月，从患者的开口度、咬合关系、面神经功能和影像学检查等方面进行疗效分析。结果：31例患者中，2例出现暂时性面神经功能不全，所有患者均咬合关系良好，张口度最大者4.8 cm，最小者3.0 cm，平均张口度4.0 cm，无张口偏斜。术后3个月CT显示所有患者髁突均完全解剖复位。结论：较之传统手术切口，改良的腮腺入路切口隐蔽，手术创伤小，利于面神经保护，且能达到髁突骨折解剖复位和坚强内固定的要求。

关键词: 髁突, 骨折, 手术入路

Abstract: Objective: To introduce a novel modified periauricular approach and rigid internal fixation in treating condylar fractures. Methods: 36 condylar fractures were retrospectively reviewed. Occlusion, maximum mouth opening，facial nerve function and 3D-CT were used in evaluating the postoperative results. Results: All patients showed good occlusion and maximum mouth opening. No symptom of facial nerve injury occurred. CT scans revealed that all condyles were anatomically reducted. Conclusion: Compared with traditional approach, modified periodic transparotid approach has minimum invasion. The modified incision is concealed and feasible for facial nerve protection. The condyle can also be anatomical reducted with rigid internal fixation.

Key words:  condyle, fracture, surgical approach

中图分类号: 

• R782.4