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正颌外科再次手术的回顾性分析:潜在原因、策略及结果

A retrospective analysis of redo orthognathic surgery: Underlying causes, strategy, and outcome.

作者信息

Choi Bong-Kyoon, Jeon Hong Bae, Lo Lun-Jou, Yun In Sik

机构信息

CBK BIOLAB INC., Pleasanton, CA, USA.

Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, South Korea.

出版信息

J Craniomaxillofac Surg. 2023 Mar;51(3):188-198. doi: 10.1016/j.jcms.2023.01.018. Epub 2023 Jan 31.

Abstract

The aim of this study was to investigate the underlying causes of the need for redo orthognathic surgery, address surgical strategies, and evaluate postoperative outcomes. A retrospective chart review was conducted involving patients who underwent redo orthognathic surgery between January 2018 and April 2020. A total of 32 patients were included in this study. Prior to the procedures, patients' chief complaints were unfavorable facial profile, asymmetry, relapse, malocclusion, obstructive sleep apnea, and long face. To address these issues, we performed redo orthognathic surgery: this resulted in satisfactory aesthetic and functional outcomes in most cases. Considering the challenging nature of a redo orthognathic surgery, it is crucial for surgeons to accurately evaluate the patient's chief complaints and tailor individualized surgical plans to meet the patient's expectations.

摘要

本研究的目的是调查再次进行正颌手术的潜在原因,探讨手术策略,并评估术后结果。对2018年1月至2020年4月期间接受再次正颌手术的患者进行了回顾性病历审查。本研究共纳入32例患者。在手术前,患者的主要诉求包括面部轮廓不佳、不对称、复发、咬合不正、阻塞性睡眠呼吸暂停和长脸。为了解决这些问题,我们进行了再次正颌手术:在大多数情况下,这带来了令人满意的美学和功能效果。考虑到再次正颌手术的挑战性,外科医生准确评估患者的主要诉求并制定个性化的手术方案以满足患者的期望至关重要。

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