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[面部不对称矫正的诊断与治疗选择:文献综述]

[Diagnostic and treatment alternatives for the correction of facial asymmetries: a literature review].

作者信息

Rojas Reyna Braulio Rafael, Ramírez Prado María Isabel, Orozco Orozco Norma Idalia, Rodríguez Pérez Luis Renán, Simg Alor Ana Alicia, Quirarte Echavarría Víctor Manuel

机构信息

Facultad de Odontologia de la Universidad Veracruzana Campus Minatitlan. Veracruz, Mexico.

出版信息

Rev Cient Odontol (Lima). 2022 Mar 30;10(1):e098. doi: 10.21142/2523-2754-1001-2022-098. eCollection 2022 Jan-Mar.

DOI:10.21142/2523-2754-1001-2022-098
PMID:38389908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10880717/
Abstract

Facial symmetry refers to a complete coincidence of each facial component on the sagittal plane, while asymmetry refers to the bilateral difference between these components. The presence of perfect bilateral symmetry is almost never present in human, so it is more common for individuals to predominate facial asymmetry. However, this condition can result from functional and esthetic problems. This research seeks to determine the alternatives, diagnosis and ideal treatment plan for the correction of each type of facial asymmetry through orthognathic surgery. For this purpose, a review of articles published between 2015 to date was carried out. Selecting those that were focused on describing or evaluating facial and dentofacial symmetry and asymmetry, type of diagnosis or treatment plan, including clinical cases. The Google search engine, SciELO and databases of medical interest, such as PubMed, PMC and Medigraphic were used. According to the research and treatments carried out during the last few years in the dental clinic, it has been proven that orthognathic treatment accompanied by previous planning is the best option for the management of skeletal facial asymmetries.

摘要

面部对称性是指面部各组成部分在矢状面上完全重合,而非对称性则是指这些组成部分之间的双侧差异。人类几乎不存在完美的双侧对称性,因此个体面部不对称更为常见。然而,这种情况可能会导致功能和美观问题。本研究旨在确定通过正颌外科手术矫正每种面部不对称类型的替代方案、诊断方法和理想治疗方案。为此,对2015年至今发表的文章进行了综述。选择那些专注于描述或评估面部及牙颌面对称性和不对称性、诊断类型或治疗方案(包括临床病例)的文章。使用了谷歌搜索引擎、SciELO以及医学相关数据库,如PubMed、PMC和Medigraphic。根据过去几年牙科诊所进行的研究和治疗,已证明在前期规划的伴随下进行正颌治疗是管理骨骼性面部不对称的最佳选择。

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1
[Diagnostic and treatment alternatives for the correction of facial asymmetries: a literature review].[面部不对称矫正的诊断与治疗选择:文献综述]
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2
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本文引用的文献

1
Management of skeletal Class III with facial asymmetry using skeletal anchorage: 4-year follow-up.使用骨锚固技术治疗伴有面部不对称的骨性III类错牙合畸形:4年随访
Dental Press J Orthod. 2020 Mar;25(2):24. doi: 10.1590/2177-6709.25.2.24.e1-9.onl. Epub 2020 May 29.
2
Surgical-orthodontic treatment for class II asymmetry: outcome and influencing factors.正颌-正畸联合治疗Ⅱ类不对称畸形:疗效及影响因素。
Sci Rep. 2019 Nov 29;9(1):17956. doi: 10.1038/s41598-019-54317-5.
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Short-term changes in muscle activity and jaw movement patterns after orthognathic surgery in skeletal Class III patients with facial asymmetry.骨骼Ⅲ类面部不对称患者正颌手术后肌肉活动和颌骨运动模式的短期变化
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Associations Between Genetic Data and Quantitative Assessment of Normal Facial Asymmetry.遗传数据与正常面部不对称定量评估之间的关联
Front Genet. 2018 Dec 18;9:659. doi: 10.3389/fgene.2018.00659. eCollection 2018.
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Linear and Volumetric Mandibular Asymmetries in Adult Patients With Different Skeletal Classes and Vertical Patterns: A Cone-Beam Computed Tomography Study.成人不同骨骼类型和垂直模式患者的下颌线性和容积不对称:锥形束 CT 研究。
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Orthognathic Treatment of Skeletal Class III Malocclusion with Severe Facial Asymmetry.伴有严重面部不对称的骨性III类错牙合畸形的正颌治疗
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Comparison of the three-dimensional structures of mandibular condyles between adults with and without facial asymmetry: A retrospective study.有面部不对称和无面部不对称成年人下颌髁突三维结构的比较:一项回顾性研究。
Korean J Orthod. 2018 Mar;48(2):73-80. doi: 10.4041/kjod.2018.48.2.73. Epub 2018 Feb 6.
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Collaborative treatment for a case of condylar hyperplastic facial asymmetry.髁突肥大性面部不对称症一例的协同治疗。
Angle Orthod. 2018 Jul;88(4):503-517. doi: 10.2319/081517-549.1. Epub 2018 Mar 21.
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Facial asymmetry revisited: Part II-Conceptualizing the management.再探面部不对称:第二部分——管理策略的概念化
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10
Facial asymmetry revisited: Part I- diagnosis and treatment planning.再谈面部不对称:第一部分——诊断与治疗规划
J Oral Biol Craniofac Res. 2018 Jan-Apr;8(1):7-14. doi: 10.1016/j.jobcr.2017.04.010. Epub 2017 May 15.