口腔颌面外科_下颌骨骨折课件.ppt

Mandibular Fractures History A. Ancient Egypt B. Ancient Greece C. “Modern” Europe D. America Ancient Egypt The Edwin Smith Treatise Written approx 3000 BC, translated in 1862 “An ailment to be treated” “An ailment with which to contend” “An ailment not to be treated” “If thou examinst a man having a fracture in his mandible, thou shouldst place thy hand upon it…and find that fracture crepitating under they fingers, thou shouldst say concerning him: one having a fracture in his mandible, over which a wound has been inflicted, thou will a fever gain from it.” ------Edwin Smith The cause of death was believed to be sepsis Ancient Greece Hippocrates The son of a physician-priest Written in 460 BC Describes MMF! Bandages, first mentioned by Hippocrates, gained acceptance as a standard of care when John Rhea Barton described his Barton bandage “Displaced but incomplete fractures of the mandible where continuity of the bone is preserved should be reduced by pressing the lingual surface with the fingers while counterpressure is applied from the outside. Following the reduction, teeth adjacent to the fracture are fastened to one another using gold wire.” ------Hippocrates “Modern” Europe The first European medical school was in Salerno, Italy in 1180 Heavily influenced by religion. “…take olbaisum, mastic, colophene, glue and dragon blood; all this must be mixed with liquefied resin until it becomes ointment, which is placed over (the fracture)…” America Thomas Gunning Designed the “Gunning splint” in 1884 His assessment and methods were highly controversial, however, and most considered his treatment unsatisfactory Mr. Thomas Pioneered open reduction with internal fixation in 1869 America Thomas Gunning Designed the “Gunning splint” in 1884 His assessment and methods were highly controversial, however, and most considered his treatment unsatisfactory Mr. Thomas Pioneered open reduction with internal fixation in 1869 Anatomy A. Bony