外置式牵引器在陈旧性上颌骨骨折治疗中的应用

doi:10.3969/j.issn.1005-4979.2018.03.008

《口腔颌面外科杂志》

外置式牵引器在陈旧性上颌骨骨折治疗中的应用

马晓辉，刘谊，张凯宇

首都医科大学口腔医学院颌面外科，北京 100050

出版日期:2018-06-28 发布日期:2019-11-28
通讯作者: 马晓辉，主任医师.E-mail:mxhui86@163.com
作者简介:马晓辉（1967—），男，北京人，副教授，硕士.

Application of Rigid External Distractor in Treatment of Old Maxillary Fractures

MA Xiao-hui, LIU Yi, ZHANG Kai-yu

Department of Oral and Maxillofacial Surgery, School of Stomatology, Capital Medical University, Beijing 100050, China

Online:2018-06-28 Published:2019-11-28

摘要/Abstract

摘要： 目的：探讨外置式牵引器在陈旧性上颌骨骨折治疗中的应用。方法：应用外置式牵引器治疗8例（年龄16~45岁，中位年龄28岁）陈旧性上颌骨骨折患者，上颌骨Le Fort I型截骨术后安装牵引器，每日牵引1 mm，分2次完成，牵引结束后固定4~5个月拆除牵引器。结果：经牵引成骨后，患者面型及咬合关系得到改善。结论：应用外置式牵引器牵引成骨是治疗陈旧上颌骨骨折的有效方法，且安全、简便，术后稳定性好，值得推广。

关键词: 牵引成骨, 外置式牵引器, 陈旧性上颌骨骨折

Abstract: Objective: To evaluate the effect of rigid external distractor (RED) in the treatment of old maxillary fractures. Methods: A total of 8 cases of old maxillary fractures were treated in this study, aged from 16 to 45 years (mean 28 years) Application of RED after Le Fort I osteotomy . Distraction rhythm and rate was 0.5 mm twice a day. RED were removed at 4-5 months after distractions. Results: After distraction osteogenesis, patients resumed satisfied facial contour and occlusion. Conclusion: RED is an effective method in treatment of old maxillary fracture.

Key words: districation osteogenesis, rigid external distractor (RED), old maxillary fracture

中图分类号:

R732.2

马晓辉，刘谊，张凯宇. 外置式牵引器在陈旧性上颌骨骨折治疗中的应用[J]. 《口腔颌面外科杂志》, doi: 10.3969/j.issn.1005-4979.2018.03.008.

MA Xiao-hui, LIU Yi, ZHANG Kai-yu. Application of Rigid External Distractor in Treatment of Old Maxillary Fractures[J]. 《Journal of Oral and Maxillofacial Surgery》, doi: 10.3969/j.issn.1005-4979.2018.03.008.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2018/V28/I3/162

参考文献

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[1]	刘庆成, 王敏娇, 司家文, 王旭东, 于洪波. 前段截骨牵引治疗唇腭裂继发上颌骨发育不足[J]. 《口腔颌面外科杂志》, 2017, 27(3): 179-184.
[2]	李彪，孙昊，张雷，沈国芳，王旭东. 下颌骨正中牵引成骨系统有限元模型的建立[J]. 《口腔颌面外科杂志》, 2013, 23(5): 330-335.

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