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髁突切除术与“手术优先”方法：对面部不对称患者髁突增生的一种快速治疗

Condylectomy and "surgery first" approach: An expedited treatment for condylar hyperplasia in a patient with facial asymmetry.

作者信息

López Diego Fernando, Aristizábal Juan Fernando, Martínez-Smit Rosana

机构信息

Universidad del Valle, Facultad de Salud, Escuela de Odontología, Departamento de Ortodoncia (Cali/ Valle del Cauca, Colombia).

Universidad CES, Facultad de Odontología, Departamento de Ortodoncia (Medellín/Antioquia, Colombia).

出版信息

Dental Press J Orthod. 2017 Jul-Aug;22(4):86-96. doi: 10.1590/2177-6709.22.4.086-096.oar.

DOI:10.1590/2177-6709.22.4.086-096.oar
PMID:28902254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5573015/
Abstract

Condylar Hyperplasia (CH) is a self-limiting pathology condition that produces severe facial deformity at the expense of mandibular asymmetry. In this case report a 15-year-old female patient was diagnosed with Unilateral Condylar Hiperplasia (UCH) by mean of single-photon emission computed tomography (SPECT) and histological study. A high condylectomy in the right condyle was performed to stop the active status of the hyperplasia. A month after condylectomy, orthognathic jaw impaction and asymmetric mandibular setback surgery was performed with the Surgery First Approach (SFA). After 10 days, orthodontic appointments were made every two weeks during 4 months. The active phase of treatment lasted 14 months. Excellent facial and occlusal outcomes were obtained and after 24 months in retention the results remained stable.

摘要

髁突增生（CH）是一种自限性病理状况，会导致严重的面部畸形，以下颌不对称为代价。在本病例报告中，一名15岁女性患者通过单光子发射计算机断层扫描（SPECT）和组织学研究被诊断为单侧髁突增生（UCH）。对右侧髁突进行了高位髁突切除术以阻止增生的活跃状态。髁突切除术后一个月，采用手术优先方法（SFA）进行了正颌颌骨截骨和不对称下颌后缩手术。10天后，在4个月内每两周进行一次正畸预约。治疗的活跃阶段持续了14个月。获得了出色的面部和咬合效果，在保持24个月后结果保持稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/0088245e0a70/2176-9451-dpjo-22-04-00086-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/bc9c7acbd121/2176-9451-dpjo-22-04-00086-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/431396a2420a/2176-9451-dpjo-22-04-00086-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/4cd16daef846/2176-9451-dpjo-22-04-00086-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/b959ec1af02e/2176-9451-dpjo-22-04-00086-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/415b0d88b156/2176-9451-dpjo-22-04-00086-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/e9ab723c74f9/2176-9451-dpjo-22-04-00086-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/208b7b3f3212/2176-9451-dpjo-22-04-00086-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/b5ff0135b76c/2176-9451-dpjo-22-04-00086-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/945d4100035e/2176-9451-dpjo-22-04-00086-gf9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/0088245e0a70/2176-9451-dpjo-22-04-00086-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/bc9c7acbd121/2176-9451-dpjo-22-04-00086-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/431396a2420a/2176-9451-dpjo-22-04-00086-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/4cd16daef846/2176-9451-dpjo-22-04-00086-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/b959ec1af02e/2176-9451-dpjo-22-04-00086-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/415b0d88b156/2176-9451-dpjo-22-04-00086-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/e9ab723c74f9/2176-9451-dpjo-22-04-00086-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/208b7b3f3212/2176-9451-dpjo-22-04-00086-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/b5ff0135b76c/2176-9451-dpjo-22-04-00086-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/945d4100035e/2176-9451-dpjo-22-04-00086-gf9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5e/5573015/0088245e0a70/2176-9451-dpjo-22-04-00086-gf10.jpg

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