Freihofer H P
Dept. of Oral and Maxillo-Facial Surgery, University Hospital Nijmegen, The Netherlands.
J Craniomaxillofac Surg. 1989 Oct;17(7):306-8. doi: 10.1016/s1010-5182(89)80058-7.
The results after advancement and lowering of the edentulous maxilla after a mean follow-up of 21 months are presented. Eight cases were stabilized with wire osteosyntheses, eight others with miniplates. In contrast to earlier reports considerable variation of the results after a longer follow-up was found, although the means of the whole group do not differ very much from other series. It is concluded that the Le Fort-I operation is more reliable for the augmentation of the edentulous maxilla than onlay grafting. Better results are achieved after stabilization with miniplates than with wiring.
本文展示了在平均随访21个月后,无牙上颌骨前移和下移后的结果。8例采用金属丝骨内固定术稳定,另外8例采用微型接骨板固定。与早期报告不同的是,尽管整个组的平均值与其他系列相比差异不大,但在更长时间的随访后发现结果存在相当大的差异。得出的结论是,Le Fort - I手术在无牙上颌骨增高方面比覆盖植骨更可靠。使用微型接骨板固定比使用金属丝固定能取得更好的效果。