Ataoğlu H, Uçkan S, Karaman A I, Uyar Y
Department of Oral and Maxillofacial Surgery, Selçuk University, School of Dentistry, Kampus-Konya, Turkey.
Int J Adult Orthodon Orthognath Surg. 1999;14(4):304-9.
The primary characteristics of long face patients are gummy smile and/or anterior open bite. Consequently, correction of esthetic and functional problems are especially important for long face patients. Since orthodontic therapy alone is not sufficient to solve the problem, orthognathic surgical approach is indicated for these patients. In this report, orthognathic surgical therapy of a severe long face patient with similar findings was presented. Following clinical and cephalometric examination and preoperative orthodontic therapy, a Le Fort I osteotomy, a bilateral sagittal split osteotomy, and vertical and horizontal reduction genioplasties were performed. Alternative surgical therapies, complications, and the effects on the upper respiratory tract are also discussed.
长脸患者的主要特征是露龈笑和/或前牙开颌。因此，对于长脸患者来说，矫正美观和功能问题尤为重要。由于仅靠正畸治疗不足以解决问题，因此这些患者需要采用正颌外科手术方法。在本报告中，介绍了一位具有类似表现的严重长脸患者的正颌外科治疗情况。经过临床和头影测量检查以及术前正畸治疗后，实施了勒福Ⅰ型截骨术、双侧矢状劈开截骨术以及垂直和水平颏成形术。还讨论了替代手术疗法、并发症以及对上呼吸道的影响。
