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口腔内牵张成骨术延长下颌升支:7例患者的经验

Intraoral distraction osteogenesis to lengthen the ascending ramus. Experience with seven patients.

作者信息

Jansma Johan, Bierman Michiel W J, Becking Alfred G

机构信息

Department of Oral and Maxillofacial Surgery, University Hospital Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.

出版信息

Br J Oral Maxillofac Surg. 2004 Dec;42(6):526-31. doi: 10.1016/j.bjoms.2004.08.005.

DOI:10.1016/j.bjoms.2004.08.005
PMID:15544882
Abstract

Seven children with facial asymmetry, mean age 12 years (range 11-14.5) were treated by intraoral distraction osteogenesis to lengthen the hypoplastic ramus. We achieved a mean increase in length of the ramus of 13mm (range 10-16). In only one patient did we achieve a posterior open bite on the distraction side. All patients ended with a symmetrical chin. It was helpful to place an orthodontic bite block on the opposite side either preoperatively or postoperatively to cant the plane of occlusion. The duration of follow-up was too short to allow conclusions to be drawn about the future requirement for bimaxillary osteotomies.

摘要

7名面部不对称儿童,平均年龄12岁(范围11 - 14.5岁),接受了口内牵引成骨术以延长发育不全的下颌升支。我们实现了下颌升支长度平均增加13mm(范围10 - 16mm)。仅1例患者在牵引侧出现了后部开牙合。所有患者最终都获得了对称的下巴。术前或术后在对侧放置正畸咬块以倾斜咬合平面很有帮助。随访时间过短,无法得出关于未来双颌截骨术需求的结论。

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