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颅面短小畸形的正颌外科手术：治疗方案

Orthognathic surgery in craniofacial microsomia: treatment algorithm.

作者信息

Fariña Rodrigo, Valladares Salvador, Torrealba Ramón, Nuñez Marcelo, Uribe Francisca

机构信息

Department of Oral and Maxillofacial Surgery, Hospital del Salvador, Santiago, Chile; Department of Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile; Oral and Maxillofacial Surgery Dentistry School, Universidad de Chile, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital de Carabineros, Santiago, Chile; Depertment of Orthopedic, Orthodontic Hospital Ezequiel Gonzalez Cortés, Santiago, Chile; and Department of Oral and Maxillofacial Surgery, Hospital Regional de Temuco, Universidad de la Frontera, Temuco, Chile.

出版信息

Plast Reconstr Surg Glob Open. 2015 Feb 6;3(1):e294. doi: 10.1097/GOX.0000000000000259. eCollection 2015 Jan.

DOI:10.1097/GOX.0000000000000259
PMID:25674375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4323398/
Abstract

Craniofacial microsomia is a broad term that covers a variety of craniofacial malformation conditions that are caused by alterations in the derivatives of the first and second pharyngeal arches. In general terms, diverse therapeutic alternatives are proposed according to the growth stage and the severity of the alteration. When craniofacial growth has concluded, conventional orthognathic surgery (Le Fort I osteotomy, bilateral sagittal split osteotomy, and genioplasty) provides good alternatives for MI and MIIA type cases. Reconstruction of the mandibular ramus and temporomandibular joint before orthognathic surgery is the indicated treatment for cases MIIB and MIII. The goal of this article is to establish a surgical treatment algorithm for orthognathic surgery on patients with craniofacial microsomia, analyzing the points that allow the ideal treatment for each patient to be chosen.

摘要

颅面短小畸形是一个广义术语，涵盖了由第一和第二鳃弓衍生物改变所引起的多种颅面畸形情况。一般而言，根据生长阶段和畸形严重程度会提出不同的治疗方案。当颅面生长结束后，传统正颌手术（勒福Ⅰ型截骨术、双侧矢状劈开截骨术和颏成形术）为MI型和MIIA型病例提供了良好的治疗选择。对于MIIB型和MIII型病例，正颌手术前下颌升支和颞下颌关节的重建是指定的治疗方法。本文的目的是建立一种针对颅面短小畸形患者正颌手术的手术治疗方案，分析有助于为每位患者选择理想治疗方法的要点。

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