一种易于立即释放的上颌间固定器,用于外科矫正颌畸形或骨折病例。

K Tamari, Y Shiratsuchi, S Yokota
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引用次数: 0

摘要

在口腔外科中,颌间固定通常用于手术矫正颌骨畸形或骨折的病例。上颌间固定需要两个相互冲突的因素:僵硬的固定和在恶心和呕吐等紧急情况下迅速释放。传统的上颌间固定方法需要术后多次硬结扎,但在紧急情况下,这些结扎不能迅速切断以解放气道。我们开发了一种新的固定方法,在上夹板上方或下夹板下方放置第三根金属丝(锁定弓)。锁弓钩在未手术侧的夹板上,并牢固地连接在被手术颌骨的夹板上。通过拔出锁弓,可以快速轻松地解开结扎。这可以由病人自己或其他人来做。本文介绍了该方法的原理及临床应用。我们发现它在临床实践中很有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[An easily and immediately releasable intermaxillary fixation appliance for use after the correction of surgical orthognathic cases of jaw deformity or fracture].

In oral surgery, intermaxillary fixation is routinely applied after surgery in cases of surgical orthognathic correction of jaw deformity or fractures. Intermaxillary fixation requires two conflicting factors: Stiff fixation and quick release in an emergency, as in nausea and vomiting. Conventional methods of intermaxillary fixation require multiple stiff ligation after an operation, but in an emergency these ligations can not be cut quickly to free the airway. We have developed a new fixation method placing a third wire (locking bow) above the upper splint or below the lower splint. The locking bow is hooked onto the splint on the unoperated side and firmly ligated to the splint on the jaw being operated upon. The ligatures can be quickly and easily released by pulling out the locking bow. This can be done by the patient himself or another person. This article describes the principles and clinical application of the method. We have found it to be useful in clinical practice.

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