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牵张成骨术矫治下颌骨异常

Distraction osteogenesis for correction of mandibular abnormalities.

作者信息

Karun Vinayak, Agarwal Navneet, Singh Virendra

机构信息

Department of Oral and Maxillofacial Surgery, College of Dental Sciences and Hospital, Rau, Indore, India.

Department of Pedodontics, College of Dental Sciences and Hospital, Rau, Indore, India.

出版信息

Natl J Maxillofac Surg. 2013 Jul;4(2):206-13. doi: 10.4103/0975-5950.127653.

DOI:10.4103/0975-5950.127653
PMID:24665178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3961897/
Abstract

INTRODUCTION

Management of mandibular deformities is challenging. Distraction osteogenesis is a relatively new technique with promising results.

MATERIALS AND METHODS

We selected 12 patients. The osteotomy site decided was proximal to the antegonial notch. Latency time was five to seven days. Consolidation period was eight weeks in eleven cases and six weeks in one case.

RESULTS

In all the patients, appreciable lengthening of mandible was achieved.

DISCUSSION

The greatest advantage of distraction osteogenesis is growth of soft tissue along with the growth of hard tissue. This increases post operative stability.

摘要

引言

下颌骨畸形的治疗具有挑战性。牵张成骨是一项有前景的相对新技术。

材料与方法

我们选取了12例患者。截骨部位定在角前切迹近端。延迟期为5至7天。11例患者的巩固期为8周，1例患者为6周。

结果

所有患者的下颌骨均实现了明显延长。

讨论

牵张成骨的最大优势在于软组织随硬组织一同生长。这提高了术后稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea0/3961897/2fe579e54193/NJMS-4-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea0/3961897/7c352a90f8eb/NJMS-4-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea0/3961897/2fe579e54193/NJMS-4-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea0/3961897/7c352a90f8eb/NJMS-4-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea0/3961897/2fe579e54193/NJMS-4-206-g002.jpg

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本文引用的文献

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The role of simultaneous gap arthroplasty and distraction osteogenesis in the management of temporo-mandibular joint ankylosis with mandibular deformity in children.同期关节成形术与牵张成骨术在儿童颞下颌关节强直伴下颌骨畸形治疗中的作用
J Craniomaxillofac Surg. 2004 Feb;32(1):38-42. doi: 10.1016/j.jcms.2003.07.003.
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Distraction osteogenesis: past, present, and future.牵张成骨术：过去、现在与未来。
Facial Plast Surg. 1998;14(3):205-15. doi: 10.1055/s-2008-1064346.
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Preprosthetic vertical distraction osteogenesis of the mandible using an L-shaped osteotomy and titanium membranes for guided bone regeneration.
使用L形截骨术和钛膜引导骨再生进行下颌骨修复前垂直牵张成骨术。
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Intraoral mandibular distraction osteogenesis in a patient with severe micrognathia secondary to TMJ ankylosis using a tooth and bone-anchored device (PIT device): a case report.使用牙骨锚定装置（PIT装置）对一名因颞下颌关节强直继发严重小颌畸形患者进行口内下颌骨牵张成骨：病例报告
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Simultaneous mandibular distraction and arthroplasty in a patient with temporomandibular joint ankylosis and mandibular hypoplasia.颞下颌关节强直伴下颌发育不全患者的下颌骨同期牵张成骨与关节成形术。
J Oral Maxillofac Surg. 1999 Mar;57(3):328-33. doi: 10.1016/s0278-2391(99)90683-3.
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Controlled multiplanar distraction of the mandible, Part II: Laboratory studies of sagittal (anteroposterior) and vertical (superoinferior) movements.下颌骨的可控多平面牵张，第二部分：矢状位（前后向）和垂直位（上下向）运动的实验室研究
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Trifocal distraction osteogenesis for segmental mandibular defect: a technical innovation.用于节段性下颌骨缺损的三焦点牵张成骨术：一项技术创新。
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Plast Reconstr Surg. 1997 Feb;99(2):328-39. doi: 10.1097/00006534-199702000-00005.
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