Freidel M, Breton P, Duclos P, Angoh J J
Service de Stomatologie, Chirurgie maxillo-faciale et Chirurgie Plastique de la Face, Centre Hospitalier Lyon-Sud, Pierre-Benite.
Rev Stomatol Chir Maxillofac. 1989;90(1):39-42.
A relatively frequent disorder, hemi-mandibular hypertrophy is today well identified clinically and radiologically. Its expression varies from one case to another but it becomes stabilized at the end of growth. Its etiology is unclear and it can only be corrected surgically: the habitual inclination of the plane of occlusion leads to a bimaxillary action with a tridimensional effect. The results of these osteotomies performed at the same time is stable and dramatic. Although isolated osteotomy of the basilar excess has become a last resort procedure, isolated condylectomy is still an acceptable compromise in toothless patients. The diagnostic approach and result of surgical treatment are analyzed in light of a homogeneous series of 12 cases.
半侧下颌骨肥大是一种相对常见的疾病，如今在临床和影像学上已得到很好的识别。其表现因病例而异，但在生长结束时会趋于稳定。其病因尚不清楚，只能通过手术矫正：咬合平面的习惯性倾斜会导致双颌作用并产生三维效果。同时进行的这些截骨术的效果稳定且显著。尽管孤立的基底骨过度截骨术已成为一种最后的手段，但对于无牙患者，孤立的髁突切除术仍是一种可接受的折衷方案。根据一组12例同类病例分析了诊断方法和手术治疗结果。
