顆頭骨折の外科的治療の適応

[Indications for surgical management of condylar fractures].

抄録

顆頭突起の249個の骨折を有する29名の患者に対して、関節窩から顆頭の内側への転位を伴う骨折に限定した手術が行われた。骨折は耳介前切開で露出させた。10日間の顎間固定と3週間の機能的治療が術後の標準的な治療法であった。手術手技とその結果について報告する。

Twenty-nine patients with 249 fractures of the condylar process were treated by surgery which was reserved for fractures with medial dislocation of the condylar head out of the articular fossa. The fractures were exposed from a preauricular incision. Interosseous wires were not used: intermaxillary fixation for 10 days and functional treatment for another 3 weeks were the standard post-operative treatment. The operative technique and the results are described.