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颞下颌关节强直所致面部不对称的正颌治疗。

Orthognathic treatment of facial asymmetry due to temporomandibular joint ankylosis.

作者信息

Gulsen Ayse, Sibar Serhat, Ozmen Selahattin

机构信息

Department of Plastic, Reconstructive, and Aesthetic Surgery, Gazi University Hospital, Ankara, Turkey.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Duzce Ataturk State Hospital, Duzce, Turkey.

出版信息

Arch Plast Surg. 2018 Jan;45(1):74-79. doi: 10.5999/aps.2016.01774. Epub 2017 Oct 27.

Abstract

The aim of this study was to present a case series of the orthognathic treatment of facial asymmetry due to temporomandibular joint (TMJ) ankylosis and to characterize the current treatment modalities through a literature review. Four patients who presented with facial asymmetry due to TMJ ankylosis between 2010 and 2014 were included in this study. TMJ ankylosis was surgically treated before bimaxillary surgery with advancement genioplasty in some of the cases. In 2 cases, 3-dimensional (3D) models were used for diagnosis and treatment planning, as 3D models are very important tools for planning surgical maneuvers. Aesthetically pleasant facial symmetry and a good facial profile were obtained in all the cases.

摘要

本研究的目的是展示一组因颞下颌关节(TMJ)强直导致面部不对称的正颌治疗病例系列,并通过文献综述描述当前的治疗方式。本研究纳入了2010年至2014年间4例因TMJ强直导致面部不对称的患者。部分病例在双颌手术前行颏成形术推进术对TMJ强直进行手术治疗。在2例病例中,使用了三维(3D)模型进行诊断和治疗规划,因为3D模型是规划手术操作的非常重要的工具。所有病例均获得了美观的面部对称性和良好的面部轮廓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d11f/5784383/806b758afc63/aps-2016-01774f1.jpg

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