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舌侧短劈开:一种双侧矢状劈开截骨术技术改良

Lingual Short Split: A Bilateral Sagittal Split Osteotomy Technique Modification.

作者信息

Sant'Ana Eduardo, Souza Denis Pimenta E, Temprano Astrid Buysse, Shinohara Elio H, Faria Paulo Esteves Pinto

机构信息

*Department of Surgery, Stomaology, Pathology and Radiology, Bauru Dental School, University of Sao Paulo, FOB/USP, Bauru †Private Practice ‡Department of Oral Surgery and Integrated Clinic, Araçatuba Dental School, University of the State of Sao Paulo, FOA/UNESP §Department of Oral & Maxillofacial Surgery, University of Ribeirao Preto (UNAERP), Ribeirao Preto, Brazil.

出版信息

J Craniofac Surg. 2017 Oct;28(7):1852-1854. doi: 10.1097/SCS.0000000000003839.

Abstract

The technique of sagittal split osteotomy of the mandibular ramus is an established technique that has been evolving over the years, with significant improvements regarding stability, better bone contact between the segments, and possibilities of osteosynthesis. However, paresthesia is common in the postoperatory, sometimes permanent, and undesirable fractures in the subcondylar region can occur leading to longer operative time and extraoral scars. The short lingual split technique is an easy technique that simplifies the horizontal osteotomy of the ramus and decreases the risk of undesirable fractures with a neurosensitive recovery of patients in a much shorter time because of minor trauma and nerve manipulation during the execution.

摘要

下颌升支矢状劈开截骨术是一种成熟的技术,多年来一直在不断发展,在稳定性、节段间更好的骨接触以及骨内固定可能性方面有显著改进。然而,术后感觉异常很常见,有时是永久性的,并且髁突区域可能发生不良骨折,导致手术时间延长和口外瘢痕。短舌侧劈开技术是一种简便的技术,它简化了升支的水平截骨,由于手术过程中创伤小和神经操作少,降低了不良骨折的风险,患者神经感觉恢复时间更短。

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