高位髁突颈部骨折可通过耳前进路、颌下进路、颌后进路等途径进行切开复位,但是在运用的过程中发现:对于高位髁突颈部骨折,耳前进路显得太高,颌下进路又显得太低,颌后进路暴露不充分并且暂时性面瘫的发生率高。为了避免上述不足,作者采取先显露面神经,再行高位髁突颈部骨折复位的手术术式,取得了良好的效果。 High condylar neck fractures through the ear before the road, submandibular approach, posterior approach and other ways to open reduction, but in the course of the application found: high condylar neck fracture, the ear before the road appears too high, Submandibular approach appears to be too low, post-jaw approach exposure is inadequate and the incidence of temporary facial paralysis high. In order to avoid the above shortcomings, the author takes the first exposed facial nerve, and then the high condyle neck fracture reduction surgery, and achieved good results.