Waite P D, Matukas V J, Sarver D M
Department of Oral & Maxillofacial Surgery, School of Dentistry, University of Alabama, Birmingham.
Int J Oral Maxillofac Surg. 1988 Oct;17(5):298-302. doi: 10.1016/s0901-5027(88)80007-9.
22 septorhinoplasties were performed in conjunction with orthognathic surgery, and followed for at least 12 months. No significant difference could be established between 15 cases done with a LeFort I and 7 cases done with isolated sagittal split osteotomies. Rigid bicortical fixation of the mandible was required to change the endotracheal tube from nose to mouth. Plating of the maxilla is recommended to achieve a stable bony support for the nose. Patient satisfaction and perception were surveyed. Clinical results are presented with pre- and post-operative photographs, along with mean data for the total group.
22例鼻整形术与正颌手术联合进行，并随访至少12个月。15例行LeFort I型手术的病例与7例行单纯矢状劈开截骨术的病例之间未发现显著差异。下颌骨需要进行坚固的双皮质固定，以便将气管导管从鼻腔改至口腔。建议对上颌骨进行接骨板固定，以获得对鼻子稳定的骨支撑。对患者的满意度和认知情况进行了调查。临床结果通过术前和术后照片呈现，并给出了整个组的平均数据。
