口腔颌面部创伤的.ppt

口腔颌面部创伤 Dr. XuBing Dept of Oral and Maxillofacial Surgery Shanghai Ninth People’s Hospital 合并其它脏器的损伤--危及生命 颌面部解剖结构的破坏 口颌系统功能的影响 面容的影响 心理上的创伤 1. 血供丰富 脑震荡 脑挫裂伤 颅内血肿 颅底骨折 一、防治窒息  特点: 创缘不整齐，有异物，疼痛 轻度出血或淡黄色血浆渗出 定义 颊部损伤 口腔颌面部创伤 Dr. XuBing Dept of Oral and Maxillofacial Surgery Shanghai Ninth People’s Hospital 四、颌骨骨折的诊断 华特氏位 五、颌骨骨折的治疗 处理时机，兼顾全身情况，尽早处理 伴有软组织伤的处理 骨折线上牙的处理 正确的复位和坚强内固定（RIF) 局部与全身治疗相结合 手法复位 早期未发生纤维性愈合者 牵引复位 - 颌间牵引 - 颅颌牵引 手术切开复位 五、颌骨骨折的治疗 颌骨骨折的复位方法 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 单颌固定 牙弓夹板固定法 骨间固定法 克氏钢针固定法 固定加支架或自凝塑料 颌间固定 简单颌间结扎法 小环颌间结扎法 牙弓夹板颌间固定 粘片颌间固定法 五、颌骨骨折的治疗 颌骨骨折的固定方法 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 颅颌固定 内固定法 外固定法 －牙弓夹板石膏帽固定法 －金属丝颅骨悬吊法料 坚强内固定 －Rigid Internal Fixation 五、颌骨骨折的治疗 颌骨骨折的固定方法 －骨间固定法 －金属托盘固定法 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. CASE Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. CASE Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. CASE Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. CASE Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. CASE Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. CASE Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 下颌骨骨折 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 1. 分类 (1977 LINDAHL) 髁突头 纵形骨折 粉碎性骨折 髁突颈骨折 髁突下骨折 压缩骨折 六、髁突骨折的治疗 Evaluation only. Creat