Pierre-Robin序列患儿牵张成骨的正畸与外科原则
Orthodontic and Surgical Principles for Distraction Osteogenesis in Children with Pierre-Robin Sequence.
作者信息
Yen Stephen, Gaal Austin, Smith Kevin S
机构信息
Division of Dentistry, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS 116, Los Angeles, CA 90027, USA; Center for Craniofacial Molecular Biology, University of Southern California, CSA 103, 2250 Alcazar St. Los Angeles, CA 90033, USA.
The University of Oklahoma, College of Dentistry, Department of Oral and Maxillofacial Surgery, JW Keys Cleft and Craniofacial Clinic, 1200 N Stonewall, STE 206, Oklahoma City, OK 73117, USA; Cascadia OMS, 13127 121st Way NE, Kirkland, WA 98034, USA.
出版信息
Oral Maxillofac Surg Clin North Am. 2020 May;32(2):283-295. doi: 10.1016/j.coms.2020.01.012.
Patients with Pierre-Robin sequence recalcitrant to nonsurgical intervention have historically required tracheostomy. Mandibular distraction provides a predictable alternative to tracheostomy. Orthodontic perioperative interventions should be considered, including overcorrection, placement of temporary anchorage devices, elastics, and molding the regenerate. Mandibular distraction can be technically difficult and may cause complications. Performed correctly, mandibular distraction provides patients with a better quality of life than tracheostomy.
对于非手术干预无效的Pierre-Robin序列患者，历来都需要进行气管切开术。下颌骨牵张成骨为气管切开术提供了一种可预测的替代方法。应考虑正畸围手术期干预措施，包括过度矫正、放置临时锚固装置、使用弹力牵引以及对再生骨进行塑形。下颌骨牵张成骨技术上可能具有挑战性，并且可能会引起并发症。如果操作正确，下颌骨牵张成骨能为患者提供比气管切开术更好的生活质量。
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