Paulus Christian, Kater Wolfgang
5 Rue Chambovet, 69003 Lyon, France.
Zeppelinstraße 24, D-61352 Bad Homburg vor der Höhe, Allemagne.
Orthod Fr. 2015 Dec;86(4):287-94. doi: 10.1051/orthodfr/2015036. Epub 2015 Dec 14.
Bilateral sagittal split osteotomy has become the standard mandibular surgery for the treatment of dento-facial deformities. Even patients with less important deformities may undergo surgery. The morbidity must be as low as possible. We describe a technique with reduced split surfaces. The osseous section follows an oblique line since the thorn of Spix below and outside towards the supra-angular region. This section is completed by an osteotomy of the posterior border of the mandible. This split never reaches the inferior alveolar nerf tunnel. The protection of the alveolar nerve is increased what decreases considerably the risk of nervous complications of this intervention. The majority of the mandibular movements are possible by this technique with the exception of the important advancements and the increase of the height of the ramus.
双侧矢状劈开截骨术已成为治疗牙颌面畸形的标准下颌骨手术。即使是畸形不太严重的患者也可能接受手术。发病率必须尽可能低。我们描述了一种减少劈开面的技术。骨切开沿着一条斜线进行,从下方和外侧的斯皮克斯棘朝向角上区域。该切开通过下颌骨后缘的截骨术完成。这种劈开从未到达下牙槽神经隧道。对牙槽神经的保护增强,这大大降低了该手术神经并发症的风险。通过这种技术,除了重要的前徙和升支高度增加外,大多数下颌运动都是可行的。