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| Clinical Observation of Miniplate Combined with Ring Jaw Ligation in Children with Mandibular Fracture |
| MA Rui-yun, LI Wen-zao |
| Shanghai fengxian district central hospital , Shanghai 201400,China |
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Abstract 【Objective】 To summarize the effects of the miniplate combined with ring jaw ligation fixation in children of mandibular fracture. 【Methods】 Clinical data of sixty-nine cases of children with mandibular fracture in our hospital from February 2011 to December 2014 were selected and analyzed retrospectively. They were treated with the miniplate combined with ring jaw ligation fixation by the same dentist. The perioperative indexes and postoperative curative effect were observed and analyzed. 【Results】 The operative time of 69 cases was 36.8 ~ 47.3 min (average 41.0±6.8) min. The phenomenon of repeated bleeding did not ocure. The occlusal relationship was improved significantly in 59 cases. A small opening in the anterior region (occlusion) occurred in 3 cases. They were treated with the craniomaxillary elastic bandage. Two cases with condylar fracture were treated with indwelling ring operation combined with intermaxillary ligation. No gingival ulceration and bleeding occurred during the postoperative follow-up stage. The average healing time was (3.1 ± 0.3) months. After operation, 47 cases was normal over the mouth opening degree , and 20 cases were limited with first degree and 2 cases with second degree . 3 months after the operation, the mouth opening degrees in all of the cases were returned to normal. The mouth opening degrees in 3 months after operation were significantly improved compared with the time immediately after surgery. However, no statistical difference between the time immediately after surgery and 3 months postoperation was observed in GI, PLI and SBI(P>0.05). 【Conclusion】 The miniplate combined with ring jaw ligation is reliable effect in the treatment children's mandibular fracture. The therapy has no adverse effect in the recovery of mouth opening degree and the periodontal oral health.
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Received: 21 February 2016
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[1] 吴茂彬,王纪明,安增顺.GlideScope视频喉镜在口腔颌面部创伤手术中应用研究[J].现代仪器与医疗,2015,21(2):84-85.
[2] Pereira FVA,Da Silva BN,Nunes Reis JM,et al.Effect of the number of screws on the stability of locking mandibular reconstruction plates[J].Int J Oral Maxillofac Surg,2013,42(6):732-735.
[3] 张春力. 口腔颌面部畸形临床分析[J].中国卫生标准管理, 2014, 5(11): 40-41.
[4] 丁寅. 正畸治疗中咬合, 颌位及颞下颌关节相关问题的探讨[J].中华口腔医学杂志, 2015, 50(5): 275-277.
[5] 赵云辉,王倩,周荣,等.IgG4相关性疾病MRI和CT表现一例[J].磁共振成像, 2015, 6(3): 218-220.
[6] 马雪芳,张新华,柳新华,等.儿童髁突矢状骨折保守治疗临床观察13年一例[J].中华口腔医学杂志,2015,50(4):217-219.
[7] 周华,金松.颌间固位钉和牙弓夹板在颌骨骨折治疗中的临床应用[J].中华全科医学,2014,12(9):1408-1410.
[8] 李守宏,尚政军.全面部骨折伴双侧颞颌关节外上脱位一例[J].中华创伤杂志,2013,29(11):1122-1123.
[9] 何巍,叶志飞,赵海东,等.坚强内固定对颌面部多处骨折的外科治疗[J].中华创伤杂志,2013,29(10):935-936.
[10] 程由勇,蔡琛,刘媛,等.微型钛板坚强内固定治疗下颌骨骨折38例临床观察[J].临床口腔医学杂志,2014,30(1):31-32.
[11] Lisiecki J,Zhang P,Wang L,et al.Morphomic measurement of the temporalis muscle and zygomatic bone as novel predictors of hospital-based clinical outcomes in patients with mandible fracture[J].J Craniofac Surg,2013,24(5):1577-1581.
[12] 陈晨,杨尧,巩玺,等.口腔颌面部新鲜骨折1009例回顾分析[J].中华口腔医学杂志,2015,50(11):650-655.
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2017, Vol. 34 
