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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2020年12期

页码:

59-62

栏目:

出版日期:

2020-12-10

文章信息/Info

Title:

 Three-dimensional Measurement and Analysis of Posterior Symmetry of Conservative
Treatment of Unilateral Condylar Fracture in Children

文章编号:

1008-6455（2020）12-0059-04

作者:

 何晓玲; 陈 丹; 唐坤伦

Author(s):

 HE Xiao-ling; CHEN Dan; TANG Kun-lun

关键词:

 [关键词]髁突骨折; 面部对称性; 三维测量; 保守治疗; 儿童

Keywords:

 Key words:condylar fracture; facial symmetry; three-dimensional measurement; conservative treatment; child

分类号:

R782.2

文献标志码:

A

摘要:

[摘要]目的：基于三维测量评价儿童单侧髁突骨折患儿保守治疗后的面部对称性。方法：回顾性收集2014年12月-2016年2月
笔者医院收治的95例单侧髁突骨折患儿，均采取保守治疗。随访2～4年，观察不同年龄、骨折类型、合并其他部位骨折及治
疗方法，随访患儿颞下颌关节窝最上点到眶耳平面距离、关节结节最下点到眶耳平面距离、髁突长度、髁突宽度及髁突高度的
差异。结果：95例单侧髁突骨折患儿均获得随访，随访率为100.00%，随访2～4年，随访中位数3.6年。85例自然愈合，10例
未自然愈合的患儿8例接受理疗缓解，2例接受手术治疗缓解。患侧关节结节最下点到眶耳平面距离与健侧比较无统计学差异
（P ＞0.05），患侧颞下颌关节窝最上点到眶耳平面距离大于健侧（P＜0.05）；患侧髁突长度小于健侧（P ＜0.05），宽度大
于健侧（P ＜0.05），高度与健侧比较无统计学差异（P ＞0.05）。颏点患侧偏斜与健侧无统计学差异（P ＞0.05）。结论：
儿童患侧髁突生长能力较健侧差，但通过颞下颌关节窝增生可弥补髁突高度不足，颞下颌关节窝及邻近结构对称性、骨性颏
点未见明显变化。

Abstract:

Abstract:Objective To measure the facial symmetry after conservative treatment of unilateral condylar fracture in children
based on three-dimensional measurement. Methods 95 patients with unilateral condylar fracture treated in our hospital from
December 2014 to February 2016 were retrospectively collected. The patients were followed up for 2-4 years, and different
ages, fracture types, fractures in other parts and treatment methods were observed. during the follow-up period, the distance
from the uppermost point of the temporomandibular joint fossa to the orbital ear plane, the distance from the lowest point of
the articular tubercle to the orbital ear plane, condylar length, condylar width and condylar height were observed. Results 95
patients with unilateral condylar fractures were followed up, the follow-up rate was 100.00%,the follow-up time was 2-4
years, and the median follow-up was 3.6 years.85 cases were healed spontaneously.8 patients who did not spontaneously
healed received physical therapy,and 2 cases received surgical treatment.There was no significant difference in the
distance from the lowest point of the articular tubercle to the orbital-ear plane between the affected side and the healthy
side (P ＞0.05), but the distance from the uppermost point of the temporomandibular fossa to the orbital-ear plane on the
affected side was larger than that of the healthy side (P ＜0.05). The length of the condyle of the affected side was smaller than
that of the healthy side (P ＜0.05), and the width was larger than that of the healthy side (P ＜0.05). There was no significant
difference in mental deviation between the affected side and the healthy side (P ＞0.05). Conclusion The growth ability of
condyle in children is poor, which is characterized by insufficient length and width of condyle, but the lack of condylar height
can be made up by the hyperplasia of temporomandibular joint fossa, and there is no obvious change in the symmetry and bony
mental point of temporomandibular joint fossa and its adjacent structure.

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更新日期/Last Update: 2021-01-05