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正颌外科手术治疗一名31岁下颌前突女性Ⅲ类骨骼畸形：病例报告

Orthognathic Surgery as Class III Skeletal Treatment in a 31-Year-Old Female with Mandible Prognathism: A Case Report.

作者信息

Sadputranto Seto Adiantoro, Setiawan Arlette Suzy, Maskoen Ani Melani, Laviana Avi, Sjamsudin Endang

机构信息

Doctoral Candidate Study Program Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.

Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.

出版信息

Eur J Dent. 2023 Jul;17(3):935-942. doi: 10.1055/s-0043-1761453. Epub 2023 Mar 28.

DOI:10.1055/s-0043-1761453
PMID:36977475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10569864/
Abstract

Mandible prognathism or malocclusion skeletal class III is facial deformities. These deformities can affect orofacial function, such as mastication, speech, and function of the temporomandibular joint. Besides the physical effects of these deformities, the psychosocial impact on the individual is often essential, and such deformities can affect the quality of life and self-confidence. Orthognathic surgery is designed to correct these deformities because these deformities could not have been corrected by only orthodontic treatment. Therefore, at Hasan Sadikin General Hospital, orthognathic surgery is the treatment choice for mandibular prognathism or malocclusion skeletal class III. In this case report, we present a 31-year-old female with mandibular prognathism, difficulty in closing her mouth and anterior open bite. Surgery was performed by Le Fort 1 osteotomy for advancing maxilla and bilateral sagittal split osteotomy for setback mandible. Two weeks after surgery, patient came back to the orthodontic department for occlusion treatment.

摘要

下颌前突或骨性III类错牙合是面部畸形。这些畸形会影响口面部功能，如咀嚼、言语以及颞下颌关节的功能。除了这些畸形的生理影响外，对个体的心理社会影响往往也很重要，此类畸形会影响生活质量和自信心。正颌外科手术旨在矫正这些畸形，因为仅靠正畸治疗无法矫正这些畸形。因此，在哈桑·萨迪金综合医院，正颌外科手术是下颌前突或骨性III类错牙合的治疗选择。在本病例报告中，我们呈现了一名31岁女性，患有下颌前突、闭口困难和前牙开牙合。手术采用勒福1型截骨术前移上颌骨，并采用双侧矢状劈开截骨术后退下颌骨。术后两周，患者返回正畸科进行咬合治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/797d4227c7d6/10-1055-s-0043-1761453-i2022112472-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/aab52b6feef5/10-1055-s-0043-1761453-i2022112472-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/f2ba92c450d6/10-1055-s-0043-1761453-i2022112472-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/c5e6a86d4228/10-1055-s-0043-1761453-i2022112472-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/02ac047dd3c7/10-1055-s-0043-1761453-i2022112472-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/797d4227c7d6/10-1055-s-0043-1761453-i2022112472-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/aab52b6feef5/10-1055-s-0043-1761453-i2022112472-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/f2ba92c450d6/10-1055-s-0043-1761453-i2022112472-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/c5e6a86d4228/10-1055-s-0043-1761453-i2022112472-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/02ac047dd3c7/10-1055-s-0043-1761453-i2022112472-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc17/10569864/797d4227c7d6/10-1055-s-0043-1761453-i2022112472-5.jpg

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本文引用的文献

1
A Comparative Review of Mandibular Orthognathic Surgeries with a Focus on Intraoral Vertico-sagittal Ramus Osteotomy.下颌正颌手术的比较性综述：聚焦口内垂直矢状劈开下颌支截骨术
Cureus. 2017 Dec 8;9(12):e1924. doi: 10.7759/cureus.1924.
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ADAMTSL1 and mandibular prognathism.ADAMTSL1 与下颌前突。
Clin Genet. 2019 Apr;95(4):507-515. doi: 10.1111/cge.13519.
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Three dimensional evaluation of soft tissue after orthognathic surgery.正颌手术后软组织的三维评估。
Head Face Med. 2018 Oct 5;14(1):21. doi: 10.1186/s13005-018-0179-z.
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Identification and Functional Studies of MYO1H for Mandibular Prognathism.鉴定和功能研究 MYO1H 基因与下颌前突的关系
J Dent Res. 2018 Dec;97(13):1501-1509. doi: 10.1177/0022034518784936. Epub 2018 Jul 9.
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Current Concepts in Orthognathic Surgery.正颌外科学的新概念。
Plast Reconstr Surg. 2018 Jun;141(6):925e-936e. doi: 10.1097/PRS.0000000000004438.
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Genetic Factors Involved in Mandibular Prognathism.与下颌前突相关的遗传因素
J Craniofac Surg. 2017 Jul;28(5):e422-e431. doi: 10.1097/SCS.0000000000003627.
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A new classification of mandibular asymmetry and evaluation of surgical-orthodontic treatment outcomes in Class III malocclusion.下颌不对称的新分类及Ⅲ类错牙合畸形外科正畸治疗效果评估
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LeFort I Osteotomy.LeFort I 截骨术。
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Digital model planning and computerized fabrication of orthognathic surgery wafers.正颌外科手术导板的数字模型规划与计算机制作
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The clinical relevance of orthognathic surgery on quality of life.正颌手术对生活质量的临床相关性。
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