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一种用于唇腭裂患者的两阶段手术程序,该程序将牵张技术上颌前徙与下颌后缩手术相结合。

A 2-stage procedure combining maxillary advancement by distraction technique with mandibular setback surgery in patients with cleft lip and palate.

作者信息

Mori Y, Eguchi T, Matsuzaki M, Ogihara Y, Susami T, Chikazu D, Saijo H, Yonehara Y, Takato T

机构信息

Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital, 7-3-1 Hongo, Tokyo 113-8655, Japan.

出版信息

Int J Oral Maxillofac Surg. 2006 Jul;35(7):594-7. doi: 10.1016/j.ijom.2006.02.020. Epub 2006 May 11.

Abstract

A 2-stage procedure combining maxillary advancement by distraction technique with mandibular setback surgery was used to correct jaw deformities in 5 patients with severe maxillary retrusion secondary to cleft lip and palate. First, a Le Fort I maxillary osteotomy was performed. Immediately after maxillary distraction, the distraction device was removed. The advanced maxilla was fixed with miniplates after adjusting the length and direction of advancement, and mandibular setback surgery was performed simultaneously to obtain a normal occlusal relationship. This 2-stage procedure resulted in stable occlusion and a markedly improved facial profile.

摘要

采用两阶段手术,将上颌骨牵张成骨技术与下颌骨后退手术相结合,用于矫正5例唇腭裂继发严重上颌后缩患者的颌骨畸形。首先,进行Le Fort I型上颌骨截骨术。上颌骨牵张完成后,立即拆除牵张装置。在调整上颌骨前移的长度和方向后,用微型钢板固定前移的上颌骨,并同时进行下颌骨后退手术,以获得正常的咬合关系。这种两阶段手术实现了稳定的咬合,面部轮廓也得到了显著改善。

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