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正颌外科改善笑容。

Orthognathic Surgery to Enhance the Smile.

机构信息

Department of Plastic & Reconstructive Surgery, The Craniofacial Center, Chang Gung Memorial Hospital, 5 Fushing Street, Gueishan Shiang, Taoyuan, Taiwan R.O.C. 333.

Department of Plastic & Reconstructive Surgery, The Craniofacial Center, Chang Gung Memorial Hospital, 5 Fushing Street, Gueishan Shiang, Taoyuan, Taiwan R.O.C. 333.

出版信息

Clin Plast Surg. 2023 Jan;50(1):81-89. doi: 10.1016/j.cps.2022.07.001. Epub 2022 Oct 1.

DOI:10.1016/j.cps.2022.07.001
PMID:36396264
Abstract

An esthetic smile is an integral feature of beauty. Improvement of the smile can be achieved by a combination of orthognathic surgery, orthodontics, and cosmetic dentistry. Preoperative evaluation serves to address a patient's surgical goals; it allows a surgeon to perform a detailed facial analysis and identify patients who are contraindicated for surgery. LeFort I and bilateral sagittal split osteotomy are performed to minimize the risk of complications. Injuries to the inferior alveolar nerve are the most common complication after orthognathic surgery, in which 90% of patients experience transient sensory disturbance of the lower lip in the postoperative period.

摘要

美观的笑容是美丽不可或缺的特征。通过正颌手术、正畸和美容牙科的结合,可以改善笑容。术前评估有助于实现患者的手术目标;它使外科医生能够进行详细的面部分析,并确定哪些患者不适合手术。进行 LeFort I 型和双侧矢状劈开截骨术可最大程度降低并发症风险。在下颌骨神经损伤是正颌手术后最常见的并发症,90%的患者在术后期间会出现下唇短暂感觉障碍。

相似文献

1
Orthognathic Surgery to Enhance the Smile.正颌外科改善笑容。
Clin Plast Surg. 2023 Jan;50(1):81-89. doi: 10.1016/j.cps.2022.07.001. Epub 2022 Oct 1.
2
Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery-a retrospective, cross-sectional long-term analysis.并发症还是副作用?正颌手术后患者满意度和并发症的量化评估:一项回顾性、横断面的长期分析。
Clin Oral Investig. 2021 May;25(5):3315-3327. doi: 10.1007/s00784-020-03664-z. Epub 2020 Nov 6.
3
Postoperative CT findings of orthognathic surgery and its complications: A guide for radiologists.正颌外科及其并发症的术后 CT 表现:放射科医师指南。
J Neuroradiol. 2022 Jan;49(1):17-32. doi: 10.1016/j.neurad.2021.04.033. Epub 2021 Apr 14.
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Complications associated with orthognathic surgery: A retrospective study of 485 cases.正颌外科相关并发症:485 例回顾性研究。
J Craniomaxillofac Surg. 2019 Dec;47(12):1855-1860. doi: 10.1016/j.jcms.2019.11.012. Epub 2019 Nov 29.
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Major Complications and Associated Risk Factors for Osseous Genioplasty With Bimaxillary Orthognathic Surgery: An American College of Surgeons-National Surgical Quality Improvement Program Analysis.骨成形术与双颌正颌手术相关的主要并发症及危险因素:美国外科医师学会-国家手术质量改进计划分析。
J Craniofac Surg. 2022;33(2):632-635. doi: 10.1097/SCS.0000000000008141.
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Inferior alveolar nerve repositioning and orthognathic surgery.下牙槽神经重新定位与正颌外科手术。
J Craniofac Surg. 2014 Sep;25(5):e435-8. doi: 10.1097/SCS.0000000000000945.
7
Determining Morbidity of Adding Genioplasty to Bimaxillary Orthognathic Surgery.确定颏成形术在双颌正颌手术中的发病率。
Aesthetic Plast Surg. 2023 Jun;47(3):1104-1110. doi: 10.1007/s00266-022-03078-0. Epub 2022 Sep 12.
8
The influence of dexamethasone on postoperative swelling and neurosensory disturbances after orthognathic surgery: a randomized controlled clinical trial.地塞米松对正颌手术后肿胀和神经感觉障碍的影响:一项随机对照临床试验。
Head Face Med. 2017 Nov 7;13(1):19. doi: 10.1186/s13005-017-0153-1.
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The Effect of Orthognathic Surgery on the Hourglass Appearance of the Neck.正颌手术对颈部沙漏样外观的影响。
J Craniofac Surg. 2022;33(8):2551-2554. doi: 10.1097/SCS.0000000000008816. Epub 2022 Jul 25.
10
[Three-dimensional study of facial soft tissue changes in patients with skeletal Class malocclusion before and after orthognathic surgery].[正颌手术前后骨性Ⅲ类错颌患者面部软组织变化的三维研究]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 May 15;32(5):612-616. doi: 10.7507/1002-1892.201801051.

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Evaluation of the quality and reliability of Chinese content about orthognathic surgery on BiliBili and TikTok: a cross-sectional study.哔哩哔哩和抖音上正颌外科中文内容的质量与可靠性评估:一项横断面研究
Sci Rep. 2025 Aug 7;15(1):28967. doi: 10.1038/s41598-025-13941-0.
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Impact of orthognathic surgery on emotional expression and smile aesthetics in Chinese patients as measured by FaceReader: a before-and-after study.通过FaceReader测量正颌手术对中国患者情绪表达和微笑美学的影响:一项前后对照研究。
Arch Craniofac Surg. 2025 Jun;26(3):115-123. doi: 10.7181/acfs.2025.0007. Epub 2025 Jun 20.
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Recommendations to minimize tooth root remodeling in patients undergoing maxillary osteotomies.
对上颌骨切开术患者尽量减少牙根重塑的建议。
Sci Rep. 2024 Jun 13;14(1):13686. doi: 10.1038/s41598-024-62059-2.
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Correlation between Depth of the Curve of Spee and Some Specific Malocclusion Characteristics in a Population from Sibiu County, Romania-A Cross-Sectional Study.罗马尼亚锡比乌县人群中Spee曲线深度与某些特定错牙合特征的相关性——一项横断面研究
J Clin Med. 2024 May 7;13(10):2750. doi: 10.3390/jcm13102750.