Pangrazio-Kulbersh V, MacIntosh R B
Am J Orthod. 1985 Apr;87(4):319-37. doi: 10.1016/0002-9416(85)90007-7.
Patients whose facial esthetics are not severely compromised but who need surgical intervention for the correction of a dentoskeletal problem can be treated by repositioning of the whole mandibular alveolar segment in the direction needed to allow for such correction. The challenge to achieve efficient and relatively stable results with the use of combined orthodontic and surgical methods has been met by the use of various surgical techniques. The lower total alveolar osteotomy is another viable surgical technique that could be considered when treatment is being planned in an orthognathic surgical case. Its indications, contraindications, advantages, and disadvantages are described, and cases are reported to exemplify problems that can be corrected with this approach.
面部美学未受到严重损害但需要通过手术干预来矫正牙颌面问题的患者，可以通过将整个下颌牙槽骨段向实现这种矫正所需的方向重新定位来进行治疗。通过使用各种外科技术，已经应对了在使用正畸和外科联合方法时实现高效且相对稳定结果的挑战。低位总牙槽骨切开术是另一种可行的外科技术，在正颌外科病例的治疗规划中可以考虑使用。本文描述了其适应证、禁忌证、优点和缺点，并报告了一些病例以举例说明可以用这种方法矫正的问题。
