ICS 11.060.01 CCS C05 T/CHSA 011—2023 成人髁突骨折诊疗 专家共识 Expert consensus on the diagnosis and treatments of mandibular condyle fractures in adults 2023 - 05 - 19发布 中华口腔医学会 发布 2023 - 06 - 01实施 中华口腔医学会 团 体 标 准 全国团体标准信息平台 T/CHSA 011 —2023 I 目次 前言 ................................ ................................ ................ III 引言 ................................ ................................ ................. IV 1 范围 ................................ ................................ ............... 1 2 规范性引用文件 ................................ ................................ ..... 1 3 术语和定义 ................................ ................................ ......... 1 4 髁突骨折的临床分类 ................................ ................................ . 3 分类依据 ................................ ................................ ....... 3 分类变量 ................................ ................................ ....... 4 分类方案 ................................ ................................ ....... 4 4.3.1 矢状骨折 ................................ ................................ ... 4 4.3.2 髁头骨折 ................................ ................................ ... 4 4.3.3 髁颈骨折 ................................ ................................ ... 5 4.3.4 髁基骨折 ................................ ................................ ... 5 5 髁突骨折的手术治疗 ................................ ................................ . 6 手术治疗依据 ................................ ................................ ... 6 适应证 ................................ ................................ ......... 6 5.2.1 倾向手术的次变量 ................................ ........................... 6 5.2.2 绝对和相对适应证 ................................ ........................... 6 骨折复位与固定 ................................ ................................ . 6 5.3.1 矢状骨折 ................................ ................................ ... 6 5.3.2 髁头骨折 ................................ ................................ ... 6 5.3.3 髁颈骨折 ................................ ................................ ... 7 5.3.4 髁基骨折 ................................ ................................ ... 7 术后颌间固定 ................................ ................................ ... 7 术后并发症处理 ................................ ................................ . 7 5.5.1 错 ................................ ................................ ....... 7 5.5.2 神经损伤 ................................ ................................ ... 7 5.5.3 术后感染 ................................ ................................ ... 7 5.5.4 髁突吸收 ................................ ................................ ... 7 5.5.5 关节强直 ................................ ................................ ... 8 6 髁突骨折的非手术治疗 ................................ ............................... 8 非手术治疗依据 ................................ ................................ . 8 功能性治疗 ................................ ................................ ..... 8 6.2.1 适应证 ................................ ................................ ..... 8 6.2.2 方法 ................................ ................................ ....... 8 颌间牵引- 固定治疗 ................................ .............................. 8 6.3.1 适应证 ................................ ................................ ..... 8 6.3.2 方法 ................................ ................................ ....... 8 全国团体标准信息平台 T/CHSA 011 —2023 II 7 髁突陈旧性骨折的治疗 ................................ ............................... 8 正畸治疗 ................................ ................................ ....... 8 7.1.1 适应证 ................................ ................................ ..... 8 7.1.2 方法 ................................ ................................ ....... 8 “再骨折”复位 ................................ ................................ ... 8 7.2.1 适应证 ........