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正颌外科手术相关并发症。

Complications associated with orthognathic surgery.

作者信息

Kim Young-Kyun

机构信息

Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2017 Feb;43(1):3-15. doi: 10.5125/jkaoms.2017.43.1.3. Epub 2017 Feb 20.

DOI:10.5125/jkaoms.2017.43.1.3
PMID:28280704
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5342970/
Abstract

While most patients undergo orthognathic surgery for aesthetic purposes, aesthetic improvements are most often followed by postoperative functional complications. Therefore, patients must carefully decide whether their purpose of undergoing orthognathic surgery lies on the aesthetic side or the functional side. There is a wide variety of complications associated with orthognathic surgery. There should be a clear distinction between malpractice and complications. Complications can be resolved without any serious problems if the cause is detected early and adequate treatment provided. Oral and maxillofacial surgeons must have a full understanding of the types, causes, and treatment of complications, and should deliver this information to patients who develop these complications.

摘要

虽然大多数患者接受正颌手术是出于美学目的,但术后功能并发症往往紧随美学改善之后出现。因此,患者必须谨慎决定其接受正颌手术的目的是侧重于美学方面还是功能方面。正颌手术存在各种各样的并发症。医疗事故和并发症之间应该有明确的区分。如果能早期发现病因并提供适当治疗,并发症可以得到解决而不会出现任何严重问题。口腔颌面外科医生必须全面了解并发症的类型、病因和治疗方法,并应将这些信息告知出现这些并发症的患者。

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本文引用的文献

1
Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment.口腔颌面治疗后三叉神经分支神经病变
J Maxillofac Oral Surg. 2016 Sep;15(3):321-327. doi: 10.1007/s12663-015-0843-9. Epub 2015 Nov 11.
2
Surgical Site Infections Following Bimaxillary Orthognathic, Osseous Genioplasty, and Intranasal Surgery: A Retrospective Cohort Study.双颌正颌手术、颏成形术及鼻内手术后的手术部位感染:一项回顾性队列研究
J Oral Maxillofac Surg. 2017 Mar;75(3):584-595. doi: 10.1016/j.joms.2016.09.018. Epub 2016 Sep 20.
3
Comparison of different hypotensive anaesthesia techniques in orthognathic surgery with regard to intraoperative blood loss, quality of the surgical field, and postoperative nausea and vomiting.正颌外科中不同降压麻醉技术在术中失血、手术视野质量及术后恶心呕吐方面的比较。
Int J Oral Maxillofac Surg. 2016 Dec;45(12):1526-1530. doi: 10.1016/j.ijom.2016.09.005. Epub 2016 Oct 10.
4
Comparison of the computed tomography values of the bone fragment gap after sagittal split ramus osteotomy in mandibular prognathism with and without asymmetry.下颌前突伴或不伴不对称患者矢状劈开下颌支截骨术后骨块间隙的计算机断层扫描值比较
Int J Oral Maxillofac Surg. 2016 Dec;45(12):1520-1525. doi: 10.1016/j.ijom.2016.08.015. Epub 2016 Sep 12.
5
Impact of orthognathic surgery on oral health-related quality of life in patients with jaw deformities.正颌手术对颌骨畸形患者口腔健康相关生活质量的影响。
Int J Oral Maxillofac Surg. 2016 Dec;45(12):1513-1519. doi: 10.1016/j.ijom.2016.07.003. Epub 2016 Aug 3.
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Changes of the Airway Space and the Position of Hyoid Bone after Mandibular Set Back Surgery Using Bilateral Sagittal Split Ramus Osteotomy Technique.使用双侧矢状劈开下颌升支截骨术进行下颌后缩手术后气道空间和舌骨位置的变化。
Maxillofac Plast Reconstr Surg. 2014 Sep;36(5):185-91. doi: 10.14402/jkamprs.2014.36.5.185. Epub 2014 Sep 30.
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Partial Necrosis of the Mandibular Proximal Segment Following Transoral Vertical Ramus Osteotomy.经口垂直升支截骨术后下颌近端节段部分坏死
Maxillofac Plast Reconstr Surg. 2014 May;36(3):131-4. doi: 10.14402/jkamprs.2014.36.3.131. Epub 2014 May 30.
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10
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Int J Oral Maxillofac Surg. 2016 Oct;45(10):1187-94. doi: 10.1016/j.ijom.2016.05.003. Epub 2016 May 26.