Stringer Dale, Brown Brandon
Loma Linda University Medical Center, Loma Linda, CA, USA.
J Oral Maxillofac Surg. 2009 Aug;67(8):1619-27. doi: 10.1016/j.joms.2008.12.068.
Our goal was to evaluate and present a technique of correcting facial asymmetry involving the mandible using angled titanium mesh.
From 1990 to 2006, 5 patients underwent augmentation of the mandibular angle with titanium mesh in conjunction with orthognathic surgery. The angle mesh was placed to correct a unilateral lower-third facial asymmetry. The mesh was placed in a subperiosteal fashion and fixated with monocortical screws. The facial asymmetries were a result of either congenital defects or trauma. A combination of clinical and radiographic examination findings, photographs, and occlusal records were used to evaluate the treatment outcome.
All 5 patients were treated successfully using the titanium mesh to augment the mandibular angle in conjunction with orthognathic surgery. No implant infection, migration, or exposure occurred. The esthetic outcome was deemed satisfactory by both the patients and the clinicians.
Facial asymmetries that involve the mandible can be corrected by placement of an angled titanium mesh in conjunction with orthognathic surgery.
我们的目标是评估并介绍一种使用成角钛网矫正涉及下颌骨的面部不对称的技术。
1990年至2006年期间，5例患者在正颌手术的同时接受了钛网下颌角增大术。放置角形钛网以矫正单侧面下三分之一的不对称。钛网以骨膜下方式放置，并用单皮质螺钉固定。面部不对称是由先天性缺陷或创伤引起的。综合临床和影像学检查结果、照片及咬合记录来评估治疗效果。
所有5例患者均通过钛网联合正颌手术成功增大下颌角。未发生植入物感染、移位或外露。患者和临床医生均认为美学效果令人满意。
通过放置成角钛网联合正颌手术可矫正涉及下颌骨的面部不对称。
