8岁的童童(化名)半年前遇车祸，全身多处受伤。细心的父母发现，儿子出院后说话居然变得口齿不清。近日，经重医附属口腔医院检查发现，童童因车祸中磕伤下巴，造成颞下颌关节双侧髁突粉碎性骨折，下巴部分的生长发育受到影响。医生称，随着年岁增长，童童有可能“有口难开”。

8 years old TongTong(aliases)In half a car accident，The whole body multiple injuries。Of attentive parents found，After discharge unexpectedly become speak son lisp。recently，The heavy medical examination showed the oral cavity hospital affiliated，TongTong for car accident injury ke chin，Cause temporomandibular bilateral comminuted condylar fractures，Chin part in the growth and development of the affected。Doctors say，As the older，TongTong may“A mouth hard to open”。

　　男童遇车祸下巴变短 The boy in a shorter chin car accident

　　昨日上午，在口腔医院北部院区正畸科，童童正在母亲张女士带领下接受医生治疗。“孩子和爸爸在一起，我当时知道消息时已被送往医院抢救了。”张女士说，今年初，丈夫独自带着儿子驾车回老家探亲，儿子系着安全带坐在副驾驶室。但在行驶途中，父子俩遇到一辆逆行车辆，两车发生碰撞，童童受到强烈冲击后被弹出座位，造成面部受创、嘴唇撕裂以及手掌骨折等外伤，“孩子当时在儿童医院重症监护室躺了一周。”

Yesterday morning，In the oral cavity hospital underwent, northern orthodontics，TongTong are mother ms. Zhang led to accept the doctor treatment。“Children and father together，I knew I was news has been taken to a hospital。”Ms. Zhang said，Earlier this year，The husband drive back to carry the son relatives，Son of seat belts sitting vice cab。But while driving，The father and his son meet one retrograde vehicles，Two car collision，TongTong were hit hard by pop up after the seat，Caused by and face、Lips torn bone fractures and palm injury，“The child was at that time in the children's hospital care in a week of lying。”

　　张女士发现，受伤后的童童面部发生了一些细微变化，原本饱满的下巴好像缩了一部分，比以前短了，说话也变得口齿不清，“张嘴有困难，勺子大了都喂不进去饭。”

A woman found，The TongTong facial injury has some subtle changes，Originally the full chin as part of the shrinkage，Short than before the，Speak also became slurred，“Mouth have difficulty，Spoon big all feed will not go in rice。”

　　面部关节骨折影响一生 Facial joint influence fracture life

　　负责外伤治疗的儿童医院建议张女士带童童到专业的口腔医院做进一步治疗。

Responsible for the children's hospital trauma Suggestions with ms. Zhang TongTong to professional oral hospital for further treatment。

　　“童童可能是在车祸中磕到下巴，造成了颞下颌关节双侧髁突粉碎性骨折。”昨日，童童在口腔医院北部院区正畸科的主治医生陈军告诉记者，颞下颌关节是与下巴连接成一体的左右双侧联动关节，在周围肌肉、韧带作用下产生与咀嚼、吞咽、语言及表情等相关的各种重要活动，是整个下颌运动的中心。

“TongTong may be in a car accident into the chin，Caused the temporomandibular bilateral comminuted condylar fractures。”yesterday，TongTong oral cavity hospital in northern orthodontic division chief doctor underwent, told reporters，Temporomandibular joint is and chin linking about bilateral linkage joint，In the muscles around、The influence of ligament and chew、swallowing、Language and expression related various important activities，Is the center of the mandible movement。

　　就童童目前的情况而言，他不能做下巴前伸的动作，侧方运动受限，说话、咀嚼也有影响。而且随着年龄增长，他的下巴生长发育速度将明显比面部其他部分迟缓，咀嚼难度将越变越大，后缩会越来越明显，严重的可能影响气道呼吸，形成面部“鸟嘴畸形”。

It TongTong at present case，He can't do his chin out before the action，The lateral movement limited，speak、Chew may also be affected。And with the age growth，His chin growth speed than other parts of the face will be significantly delayed，The more difficult the chewing change，Retraction will be more and more obvious，Serious may affect the airway breathing，Form facial“Beak deformity”。

　　“童童的治疗，涉及到正畸、颌面外科等多学科的联合治疗，是一项系统性的复杂工程，治疗将从肌功能早期训练一直持续到成年后的多学科手术治疗。目前，医生只能尽力维持其开口度，定期复诊并训练童童各种开闭口的运动机能，最大程度引导其下颌的生长，为以后的多学科手术治疗创造条件。”陈军说。

“TongTong treatment，Involves orthodontic、Maxillofacial surgery science of combination therapy，Is a complex systematic engineering，Treatment from muscle function will be early training continued to adulthood multidisciplinary after surgery。At present，The doctor can only try our best to maintain its KaiKouDu，Regular visit and training TongTong various open the function of the movement of silent，The greatest degree guide the growth of the lower jaw，For the following multidisciplinary surgery create conditions。”Howell said。

　　市民下巴受伤莫轻视 Citizens chin hurt mo contempt

　　童童的遭遇并不是孤案。“类似的案例我们遇到了不少。”据重庆医科大学附属口腔医院北部院区正畸科主任宋锦璘介绍，一些人成年后发现自己莫名其妙地脸不对称或下巴畸形，其实可能是年幼时不慎磕到下巴造成颞下颌关节受损，但并未及时引起注意所致。

TongTong experience is not isolated case。“Similar case we met a few。”According to chongqing medical university hospital affiliated oral north of director of division of SongJin orthodontic underwent Lin introduced，Some people find themselves inexplicably adult face asymmetry or chin deformity，In fact may elect into the chin was caused by careless temporomandibular joint damage，But did not timely attention be caused by。

　　宋锦璘提醒，颜面部车祸伤常伴有危及生命的急症出现，第一时间常在综合性医院处理。由于专科领域的不同，医师与患者往往忽视了颜面部后续伤害的专科处理。他提醒患者应及时咨询专科医师，定期随访，以利于前期矫治，最大程度降低颜面部畸形的风险。“即便是没有明显外伤因素，4岁以上的儿童也应定期到正畸专科医师处咨询，排除各种不利因素导致的生长发育障碍，早期发现、解决牙齿替换、颜面发育等诸多问题。”

SongJin Lin remind，Car accident injury is often accompanied by face ministry life-threatening emergency appear，The first time often in a comprehensive hospital treatment。Because of the different specialized subject areas，The doctors and patients often ignored the face ministry of subsequent damage specialist treatment。He reminded patients should be timely consulting specialist，Regular follow-up，For the correction，The greatest degree reducing the risk of the facial deformity。“Even if there is no obvious trauma factors，By children aged 4 years and should be regularly to orthodontic specialist place consultation，Eliminate all sorts of factors led to the growth and development of the barrier，Early detection、Solve replacement teeth、Face many problems, such as development。”

　　宋锦璘建议，家长尽可能不要让儿童坐在车内前排，后排也最好配备儿童安全座椅。

SongJin Lin Suggestions，As far as possible don't let children parents sit inside the car to the front row，Also the best equipped with children back seat。

　　律师提醒 Lawyer remind

　　保留证据 以备后续诉讼 Preserve evidence for subsequent litigation

　　重庆智圆律师事务所律师、重庆律师协会未成年人保护志愿律师团成员马蕾认为，遇到类似童童情况的家长，需要特别注意在诉讼中提供证明将来可能或必然发生的损害后果的证据，并提出保留向赔偿责任人主张后续医疗费等费用的权利，而且在此后要注意定期向赔偿责任人提出主张，保持诉讼时效的延续。

Chongqing wisdom lawyer round、Chongqing lawyers association the protection of minors volunteer's legal team members MaLei think，Meet TongTong similar situation of parents，Need special attention in the proceedings in the future may provide proof or is inevitable consequences of the damage of the evidence，And put forward to the compensation that keep the charge such as medical persons responsible following the rights，And after that should pay attention to the persons responsible for compensation claim on a regular basis，Keep the continuation of limitation。

　　马蕾建议，遇到类似情况的家长应保留好转院手续、住院病历、门诊病历、诊断证明、医药费发票、交通费发票等书证，在索赔时作为依据。(重庆商报 廖娴雅)

MaLei Suggestions，A similar situation of parents should retain better hospital formalities、Hospital medical records、Outpatient records、Diagnostic proof、Medical expenses invoice、Transportation invoices etc documentary evidence，When claim for compensation as basis。(Chongqing business newspaper bigly liao)