Resnick Cory M, Kaban Leonard B, Troulis Maria J
Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Facial Plast Surg. 2009 Feb;25(1):49-62. doi: 10.1055/s-0028-1112232. Epub 2009 Feb 10.
Minimally invasive surgery is defined as the discipline in which operative procedures are performed in novel ways to diminish the sequelae of standard surgical dissections. The goals of minimally invasive surgery are to reduce tissue trauma and to minimize bleeding, edema, and injury, thereby improving the rate and quality of healing. In orthognathic surgery, there are two minimally invasive techniques that can be used separately or in combination: (1) endoscopic exposure and (2) distraction osteogenesis. This article describes the historical developments of the fields of orthognathic surgery and minimally invasive surgery, as well as the integration of the two disciplines. Indications, techniques, and the most current outcome data for specific minimally invasive orthognathic surgical procedures are presented.
微创手术被定义为以新颖方式实施手术操作以减少标准手术解剖后遗症的学科。微创手术的目标是减少组织创伤，使出血、水肿和损伤最小化，从而提高愈合速度和质量。在正颌外科中，有两种可单独或联合使用的微创技术：（1）内镜暴露和（2）牵张成骨。本文描述了正颌外科和微创手术领域的历史发展，以及这两个学科的整合情况。还介绍了特定微创正颌外科手术的适应证、技术和最新疗效数据。
