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[下颌骨矢状劈开术中颞下颌关节定位的重要性及技术]

[The importance and technic of temporomandibular joint positioning in the sagittal splitting of the mandible].

作者信息

Luhr H G, Kubein-Meesenburg D, Schwestka-Polly R

机构信息

Abteilung Kieferchirurgie, Georg-August-Universität Göttingen.

出版信息

Fortschr Kieferorthop. 1991 Apr;52(2):66-72. doi: 10.1007/BF02164708.

Abstract

The rigid fixation of segments in orthognathic surgery offers the advantage of avoiding long-term rigid intermaxillary immobilisation and reducing in-hospital treatment time and the entire clinical course. Nevertheless, it is difficult or even impossible to correct postoperatively osteotomy segments. Therefore the exact transfer of the preoperative position of the condyle to the postoperative situation is essential for the use of this technique and its use in bimaxillary surgery. The presented technique, which has been successful in the cooperation of orthodontics and orthognathic surgery for many years, is a prerequisite for an up-to-date treatment of dentofacial anomalies.

摘要

正颌外科中节段的坚固内固定具有避免长期坚固性颌间固定、缩短住院治疗时间及整个临床疗程的优点。然而,术后截骨段很难甚至无法矫正。因此,将髁突术前位置精确转移至术后情况对于该技术的应用及其在双颌手术中的使用至关重要。所介绍的这项技术多年来在正畸与正颌外科的合作中取得了成功,是牙颌面畸形现代治疗的前提条件。

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