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颞下颌关节强直继发面部不对称病例的正颌外科治疗

Orthosurgical Management of a Case of Facial Asymmetry Secondary to Temporomandibular Joint Ankylosis.

作者信息

Sharma Payal, Kumar Sanjeev, Kapoor Prashant, Verma Anubha

机构信息

Department of Orthodontics, ITS Dental College, Ghaziabad, Uttar Pradesh, India.

出版信息

Ann Maxillofac Surg. 2019 Jan-Jun;9(1):177-182. doi: 10.4103/ams.ams_128_17.

DOI:10.4103/ams.ams_128_17
PMID:31293949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6585206/
Abstract

This case report describes the successful treatment of a patient with facial asymmetry secondary to temporomandibular joint ankylosis with a combined orthodontic-surgical approach. Presurgical orthodontics involved surgically assisted rapid maxillary expansion followed by a bilateral sagittal split osteotomy and LeFort I osteotomy to reposition the mandible and correct the canting of the maxilla. The total active treatment period was 24 months. A significant improvement in occlusion and facial esthetics was achieved with treatment.

摘要

本病例报告描述了采用正畸-外科联合方法成功治疗一名因颞下颌关节强直继发面部不对称的患者。术前正畸包括手术辅助快速上颌扩弓，随后进行双侧矢状劈开截骨术和LeFort I截骨术，以重新定位下颌骨并纠正上颌骨倾斜。总主动治疗期为24个月。通过治疗，咬合和面部美观得到了显著改善。

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