下颌骨髁突骨折的“面部无痕”手术入路

doi:10.7518/hxkq.2025.2025405

华西口腔医学杂志 ›› 2026, Vol. 44 ›› Issue (2): 173-179.doi: 10.7518/hxkq.2025.2025405

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下颌骨髁突骨折的“面部无痕”手术入路

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

收稿日期:2025-10-14 出版日期:2026-04-01 发布日期:2026-03-31
通讯作者: 刘磊 E-mail:jinlongchen@scu.edu.cn;drliulei@163.com
作者简介:陈金龙，副主任医师，硕士研究生导师，四川大学华西口腔医院科研部副部长。美国斯坦福大学外科系整形与重建外科博士后，英国伯明翰大学伊丽莎白女王医院fellow，国际内固定研究学会颅颌面外科（AOCMF）讲师，AO线上学院亚太区讲师。中华口腔医学会创伤正颌外科专业委员会委员及口腔颌面外科专业委员会青年委员，《口腔疾病防治》青年编委。主持国家自然科学基金项目1项，国家重点研发计划子课题1项，四川省自然科学基金项目2项。以第一作者或通信作者在Journal of Dental Research、Dental Materials、Biomaterials等杂志发表SCI论文10篇，授权国家发明专利1项。获中华口腔医学会青年教师理论授课展示一等奖，四川省高校教师教学创新大赛二等奖，四川省教师数字素养提升实践活动一等奖，全国仿真创新应用大赛二等奖。|陈金龙，副主任医师，博士，E-mail：jinlongchen@scu.edu.cn|刘磊，四川大学华西口腔医院教授、博士研究生导师、主任医师、口腔颌面外科学系主任、口腔颌面外科住院医师培训及专科医师培训基地主任、国家临床重点专科负责人，兼任Fellow of ICD、AOCMF中国理事会理事。中华口腔医学会创伤及正颌外科专业委员会副主任委员及口腔颌面外科专业委员会委员、中国医师协会口腔颌面外科专科专业委员会副主任委员、国家口腔医学中心—口腔颌面外科专科联盟专家委员会委员等。Journal of Clinical Medicine、 World Journal of Stem Cells、《华西口腔医学杂志》《中华创伤杂志》等期刊编委。主要研究方向为颅颌面创伤诊治、再生医学和生物材料研究。主持1项国家863计划课题、6项国家自然科学基金课题、8项部省级课题。迄今发表论文286篇，作为第一或通信作者134篇，主编参编19部专著和1部译著。获部省级科技进步奖5项、国家专利12项。先后被评为教育部新世纪优秀人才、四川省医疗卫生领军人才、四川省杰出青年学科带头人。
基金资助:
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)

Facial scarless surgical approach for mandibular condyle fracture

Chen Jinlong(), Liu Lei()

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2025-10-14 Online:2026-04-01 Published:2026-03-31
Contact: Liu Lei E-mail:jinlongchen@scu.edu.cn;drliulei@163.com
Supported by:
Sichuan Science and Technology Program(2025ZNSFSC0765);Research and Development Program of West China Hospital of Stomatology, Sichuan University(LCYJ-MS-202502);Correspondence: Liu Lei, E-mail: drliulei@163.com

摘要/Abstract

摘要：

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。

关键词: 髁突骨折, 手术入路, 面部无痕, 内镜, 微创

Abstract:

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 system 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 management of condylar fractures.

Key words: mandibular condylar fracture, surgical approach, facial scarless, endoscopy, minimally invasive

中图分类号:

R782.4

陈金龙, 刘磊. 下颌骨髁突骨折的“面部无痕”手术入路[J]. 华西口腔医学杂志, 2026, 44(2): 173-179.

Chen Jinlong, Liu Lei. Facial scarless surgical approach for mandibular condyle fracture[J]. West China Journal of Stomatology, 2026, 44(2): 173-179.

图/表 4

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参考文献 39

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下颌骨髁突骨折的“面部无痕”手术入路

Facial scarless surgical approach for mandibular condyle fracture

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