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目的:总结颌间弹性牵引在颌骨骨折治疗中的辅助作用。方法:对40例颌骨骨折病例采用开放复位坚强内固定治疗,术前、术中或术后辅以颌间弹性牵引;5例患者单纯采用颌间弹性牵引治疗。结果:40例开放手术复位病例伤口均一期愈合。全部45例患者均骨折复位愈合良好,咬合关系恢复正常。结论:颌骨骨折术前及术中颌间弹性牵引可以有效辅助骨折复位,保持正常咬合关系;术后短时间颌间弹性牵引对保持骨折复位愈合、咬合关系恢复有重要作用。
Objective: To summarize the auxiliary role of intermaxillary elastic traction in the treatment of jaw fracture. Methods: Forty cases of jaw fracture were treated with open reduction and internal fixation. Preoperative, intraoperative or postoperative supplemented intermaxillary elastic traction. Five patients were treated with intermaxillary elastic traction alone. Results: All the wounds were healed in 40 cases of open surgery. All 45 patients underwent fracture reduction and healing, and the occlusion relationship returned to normal. Conclusion: Preoperative and intraoperative intermaxillary elastic traction can effectively assist the fracture reduction and maintain the normal occlusion. Short-term intermaxillary elastic traction plays an important role in maintaining the fracture healing and recovering the occlusal relationship.