Kaplan P A, Tu H K, Koment M A, Bennion J W, Ruskin J D
Department of Radiology, University of Nebraska Medical Center, Omaha 68105.
Radiology. 1988 Apr;167(1):191-4. doi: 10.1148/radiology.167.1.3347721.
Osteotomies of the mandible and/or maxilla (orthognathic surgery) are common procedures for correcting facial defects. Radiographs of these patients are routinely obtained, and the radiologist must be aware of the normal postoperative appearance as well as surgical complications that may occur. This article presents the common surgical procedures done (sagittal split, vertical subcondylar, genioplasty mandibular osteotomies; and Le Fort I and mid-palatal split maxillary osteotomies) and the routine appearance of uncomplicated procedures on posteroanterior skull and panoramic radiographs. The metallic immobilization devices and orthodontic appliances are also described.
下颌骨和/或上颌骨截骨术(正颌外科手术)是矫正面部缺陷的常见手术。这些患者通常会进行X光检查,放射科医生必须了解术后的正常外观以及可能出现的手术并发症。本文介绍了常见的手术操作(矢状劈开、髁突垂直、颏成形下颌骨截骨术;以及勒福Ⅰ型和腭中缝劈开上颌骨截骨术)以及在头颅后前位和全景X光片上未出现并发症的手术的常规表现。还描述了金属固定装置和正畸矫治器。