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下颌骨正颌外科手术

Orthognathic Surgery of the Mandible.

作者信息

Bahmanyar Sara, Namin Arya W, Weiss Robert O, Vincent Aurora G, Read-Fuller Andrew M, Reddy Likith V

机构信息

Department of Oral and Maxillofacial Surgery, College of Dentistry, Texas A&M Health Science Center, Dallas, Texas.

Department of Otolaryngology, University of Missouri School of Medicine, University of Missouri, Columbia, Missouri.

出版信息

Facial Plast Surg. 2021 Dec;37(6):716-721. doi: 10.1055/s-0041-1735309. Epub 2021 Sep 29.

Abstract

Orthognathic surgery performed in conjunction with orthodontic treatment is commonly performed to correct skeletal irregularities and realign the maxillomandibular relationship to improve occlusal function and facial esthetics. A thorough understanding of soft tissue esthetics, skeletal and occlusal relationships, and surgical techniques is required to obtain successful results. Surgical techniques have evolved greatly throughout history, as technological advances such as virtual surgical planning have become available and widely used to obtain predictable movements with minimized complications. The aim of this article is to review the orthognathic surgical procedures of the mandible, with particular attention to the indications, contraindications, preoperative assessment, surgical technique, and possible complications encountered.

摘要

正颌外科手术通常与正畸治疗联合进行,以纠正骨骼畸形,重新调整上下颌关系,从而改善咬合功能和面部美观。要取得成功的效果,需要全面了解软组织美学、骨骼和咬合关系以及手术技术。随着虚拟手术规划等技术进步的出现并广泛应用,以实现可预测的移动并将并发症降至最低,手术技术在历史上有了很大的发展。本文旨在回顾下颌骨的正颌外科手术过程,特别关注适应证、禁忌证、术前评估、手术技术以及可能遇到的并发症。

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