一家学术机构的上下颌骨固定技术趋势。

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Heather Schopper, Natalie A Krane, Kevin J Sykes, Katherine Yu, J David Kriet, Clinton D Humphrey
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引用次数: 0

摘要

研究设计回顾性病历审查:恢复骨折前的咬合是下颌骨骨折治疗的关键目标。在下颌骨骨折修复过程中,对患者进行上下颌骨固定术(MMF)有助于建立咬合。目前有多种技术可用于实现上下颌骨固定。我们试图研究本机构 MMF 技术的发展趋势:我们对 2011 年 1 月 1 日至 2021 年 3 月 31 日期间接受下颌骨骨折手术治疗的患者进行了回顾性病历审查。收集的数据包括骨折特征、损伤机制、患者人口统计学特征、并发症发生率以及所使用的 MMF 技术:结果:163 名患者(132 名男性)接受了 MMF 治疗。最常见的骨折病因是袭击(34%)。随着时间的推移,人们越来越倾向于使用快速 MMF 技术,而不是标准的埃里希弓形棒。根据术后影像学或并发症的判断,采用新型快速MMF技术与传统MMF技术的患者在获得充分的骨折复位方面没有明显差异:我院在术中建立闭塞的技术方面呈现出不断变化的趋势,最近更倾向于使用快速 MMF 技术,但并发症发生率和充分缩小骨折的能力相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in Maxillomandibular Fixation Technique at a Single Academic Institution.

Study design: Retrospective chart review.

Objective: Restoration of premorbid occlusion is a key goal in the treatment of mandibular fractures. Placement of the patient in maxillomandibular fixation (MMF) is performed during mandibular fracture repair to help establish occlusion. A number of techniques are available to achieve MMF. We sought to examine trends in MMF technique at our institution.

Methods: A retrospective chart review was conducted to evaluate patients who underwent surgical treatment of mandibular fractures between January 1, 2011 and March 31, 2021. Data including fracture characteristics, mechanism of injury, patient demographics, complication rates, and MMF technique utilized were collected.

Results: One hundred sixty-three patients underwent MMF (132 males). The most common etiology of fracture was assault (34%). There was an increasing preference for rapid MMF techniques over time, as opposed to standard Erich arch bars. No significant difference in obtaining adequate fracture reduction as determined by postoperative imaging or complications were noted between those who underwent MMF with newer rapid techniques vs traditional MMF techniques.

Conclusions: Our institution has demonstrated changing trends in the technique utilized for establishing occlusion intraoperatively, more recently favoring rapid MMF techniques, with similar rates of complications and ability to adequately reduce fractures.

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来源期刊
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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