Epker B N, Wylie G A
Oral Surg Oral Med Oral Pathol. 1986 Dec;62(6):613-7. doi: 10.1016/0030-4220(86)90251-3.
Maintenance of the normal or presurgical anatomic position of the mandibular condyles and contiguous proximal mandibular ramus segments after sagittal split ramus osteotomies is important, not only to enhance the stability of results but also to avoid iatrogenic temporomandibular joint complications. Accordingly, during the past few years, we have attempted to improve the surgical control of condyle and proximal segment position while using the sagittal split ramus osteotomy to advance the mandible. After several modifications, the device reported herein was used and the results evaluated in ten consecutive patients who underwent bilateral sagittal split ramus osteotomies with symmetric advancement of the mandible. This device enables the surgeon to obtain very precise reproduction of the "normal" proximal segment and condyle position at the time of surgery. The use of the device and documentation of its efficiency are presented.
矢状劈开下颌支截骨术后，维持下颌髁突及相邻下颌支近端节段的正常或术前解剖位置非常重要，这不仅有助于提高手术效果的稳定性，还能避免医源性颞下颌关节并发症。因此，在过去几年中，我们尝试在使用矢状劈开下颌支截骨术推进下颌骨的同时，改进对髁突和近端节段位置的手术控制。经过多次改进后，本文报道的装置被应用于连续10例接受双侧矢状劈开下颌支截骨术并对称推进下颌骨的患者，并对结果进行了评估。该装置使外科医生能够在手术时非常精确地重现“正常”近端节段和髁突的位置。本文介绍了该装置的使用方法及其有效性的记录。
