下颌骨髁突骨折的"面部无痕"手术入路OA
Facial scarless surgical approach for mandibular condyle fracture
下颌骨髁突骨折的手术入路选择面临解剖复杂性与并发症风险的双重挑战.本文在回顾传统主流入路的基础上,提出以解剖径路为核心的分类方式.结合患者美学诉求的提升与微创技术的发展,探讨了"面部无痕"理念的形成与实践.重点介绍内镜下口内入路与耳后横断耳道入路的临床应用经验,分析其优势与局限,为髁突骨折的个体化手术策略优化提供参考.
The selection of surgical approaches for mandibular condylar fractures faces dual challenges of anatomical complexity and the risk of complications.This article reviews conventional approaches and proposes a classification sys-tem centered on anatomical pathways.In light of the growing emphasis on aesthetic demands and advances in minimally invasive techniques,the evolution and implementation of the"facial scarless"concept are discussed.Particular attention is given to the endoscopic intraoral and retroauricular transmeatal approaches,with analysis of their clinical applications,advantages,and limitations,aiming to provide insights for optimizing individualized surgical strategies in the manage-ment of condylar fractures.
陈金龙;刘磊
口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心四川大学华西口腔医院创伤整形外科,成都 610041口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心四川大学华西口腔医院创伤整形外科,成都 610041
医药卫生
髁突骨折手术入路面部无痕内镜微创
mandibular condylar fracturesurgical approachfacial scarlessendoscopyminimally invasive
《华西口腔医学杂志》 2026 (2)
173-179,7
Sichuan Science and Technology Program(2025ZNSFSC0765)Research and Development Program of West China Hospital of Stomatology,Sichuan University(LCYJ-MS-202502) 四川省科技计划项目(2025ZNSFSC0765)四川大学华西口腔医院探索与研发项目(LCYJ-MS-202502)
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