《Journal of Oral and Maxillofacial Surgery》

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Application of Rigid External Distractor in Treatment of Old Maxillary Fractures

MA Xiao-hui, LIU Yi, ZHANG Kai-yu   

  1. Department of Oral and Maxillofacial Surgery, School of Stomatology, Capital Medical University, Beijing 100050, China
  • Online:2018-06-28 Published:2019-11-28

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   

  1. 首都医科大学口腔医学院颌面外科, 北京 100050
  • 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.

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

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

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