New dimensions in alveolar fracture treatment: Open reduction and internal fixation by minimally invasive approach combined with computer-assisted surgery.
Lei-Ming Cao, Yu-Xin Lin, Ze-Xing Zhang, Kun Lv, Zhi Li
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引用次数: 0
Abstract
Alveolar fractures are a common type of maxillofacial trauma, and the conventional treatment involves closed reduction and dental splinting fixation. However, closed treatment is not suitable for some complex segmental alveolar fractures. In this case report, we introduce an innovative method for segmental alveolar fracture by using open reduction and internal fixation by minimally invasive approach combined with computer-assisted surgery. In this case, the new dimensions in the treatment followed AO principles of fracture management, achieving anatomical reduction of the fracture, absolute stability of the fracture ends, proper preservation of vascular supply to soft tissues and bone, and promoting recovery through early postoperative functional training. This case provides new insights into the treatment of the complex segmental alveolar fractures with tenuous vascular supply and cannot be treated by conventional splinting fixation.
牙槽骨骨折是一种常见的颌面部创伤，传统的治疗方法包括闭合复位和牙科夹板固定。然而，闭合治疗并不适用于一些复杂的牙槽节段性骨折。在本病例报告中，我们介绍了一种创新方法，即通过微创方法结合计算机辅助手术，采用切开复位和内固定治疗牙槽骨节段性骨折。在本病例中，治疗的新维度遵循了 AO 骨折处理原则，实现了骨折的解剖复位，骨折端绝对稳定，妥善保留了软组织和骨的血管供应，并通过术后早期功能训练促进恢复。该病例为治疗血管供应脆弱、无法采用传统夹板固定的复杂节段性牙槽骨折提供了新的思路。
期刊介绍：
J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics.
Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses.
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