Bauer Richard E, Ochs Mark W
Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Eye and Ear Institute, 203 Lothrop Street, Suite 214, Pittsburgh, PA 15213, USA.
Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Eye and Ear Institute, 203 Lothrop Street, Suite 214, Pittsburgh, PA 15213, USA.
Oral Maxillofac Surg Clin North Am. 2014 Nov;26(4):523-37. doi: 10.1016/j.coms.2014.08.005. Epub 2014 Sep 8.
Maxillary surgery to correct dentofacial deformity has been practiced for almost 100 years. Significant advances have made maxillary surgery a safe and efficient means of correcting midface deformities. Anesthetic techniques, specifically hypotensive anesthesia, have allowed for safer working conditions. Landmark studies have proven manipulation and segmentalization of the maxilla is safe and allowed this surgery to become a mainstay in corrective jaw surgery. This article provides an overview of surgical techniques and considerations as they pertain to maxillary surgery for orthognathic surgery. Segmental surgery, openbite closure, vertical excess, grafting, and a technology update are discussed.
用于矫正牙颌面畸形的上颌骨手术已开展了近100年。重大进展使上颌骨手术成为矫正面中部畸形的一种安全有效的方法。麻醉技术，特别是控制性降压麻醉，提供了更安全的手术条件。具有里程碑意义的研究已证实上颌骨的操作和分块是安全的，这使得该手术成为正颌外科手术的主要手段。本文概述了与正颌外科上颌骨手术相关的手术技术及注意事项。讨论了分块手术、开𬌗矫正、垂直过度矫正、植骨及技术更新。
