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正颌外科中髁突-近心段位置的维持

Maintenance of condyle-proximal segment position in orthognathic surgery.

作者信息

Rotskoff K S, Herbosa E G, Villa P

机构信息

St Mary's Health Center and Dentofacial Deformities and Orofacial Pain Center, St Louis, MO 63117.

出版信息

J Oral Maxillofac Surg. 1991 Jan;49(1):2-7; discussion 7-8. doi: 10.1016/0278-2391(91)90256-l.

Abstract

Twenty patients underwent bilateral sagittal ramus osteotomy for the correction of mandibular retrognathia. A condylar positioning device (CPD) was used intraoperatively in 10 patients to maintain preoperative condyle-proximal segment position, while the CPD was not used in the other 10 patients. Postoperatively, the condyle-proximal segment positions in both groups were compared and evaluated for vertical, horizontal, and rotational changes. A significant improvement (P less than .05) was observed in the vertical and horizontal condylar position in the group in which the CPD was used. However, there was no significant difference in proximal segment rotation.

摘要

20例患者接受双侧矢状劈开下颌支截骨术以矫正下颌后缩。术中10例患者使用髁突定位装置(CPD)以维持术前髁突-近心骨段位置,而另外10例患者未使用CPD。术后,比较并评估两组髁突-近心骨段位置的垂直、水平和旋转变化。使用CPD的组在髁突垂直和水平位置上有显著改善(P<0.05)。然而,近心骨段旋转方面无显著差异。

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