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长期颞下颌关节强直患者面部不对称的正形矫正:一例报告

Orthomorphic Correction for Facial Asymmetry in a Patient With Long-Standing Temporomandibular Joint Ankylosis: A Case Report.

作者信息

Contractor Murtaza M, Rudagi B M, Bhate Kalyani, Deshmukh Sonali

机构信息

Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, IND.

Orthodontics and Dentofacial Orthopaedics, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, IND.

出版信息

Cureus. 2023 Aug 8;15(8):e43160. doi: 10.7759/cureus.43160. eCollection 2023 Aug.

Abstract

This case report presents the successful management of a 28-year-old female patient with facial deformity resulting from long-standing temporomandibular joint (TMJ) ankylosis. The patient underwent orthomorphic correction using a stereolithographic model of the upper and lower jaw to aid in surgical planning. The surgery was performed under general anesthesia via an intraoral approach. Cancellous bone graft harvested from the anterior iliac crest was utilized to cover the bone defect caused by the orthomorphic rotation of the lower jaw. The patient experienced satisfactory postoperative healing, and a six-month follow-up revealed significant improvement in facial symmetry and function.

摘要

本病例报告介绍了一名28岁女性患者的成功治疗情况,该患者因长期颞下颌关节(TMJ)强直导致面部畸形。患者使用上下颌的立体光刻模型进行正颌矫正,以辅助手术规划。手术在全身麻醉下通过口内入路进行。取自髂前嵴的松质骨移植用于覆盖下颌正颌旋转引起的骨缺损。患者术后愈合情况良好,六个月的随访显示面部对称性和功能有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8adc/10484502/e96a8c0206c9/cureus-0015-00000043160-i01.jpg

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