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用于Le Fort 1截骨术的U形骨松解术:在上位复位中的潜在应用

U-Shaped Osseous Release for Le Fort 1 Osteotomy: Potential Application to Superior Repositioning.

作者信息

Shiokawa Hiroyuki, Mochizuki Keita, Hama Shion, Miyahara Yuka, Sakamoto Mizuki, Kaneko Naoki, Ogata Kenichi, Hayashida Jun-Nosuke, Kawano Shintaro, Takahashi Ichiro, Moriyama Masafumi

机构信息

Section of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University.

Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University.

出版信息

J Craniofac Surg. 2024 Nov 25;36(4):1114-8. doi: 10.1097/SCS.0000000000010915.

Abstract

This study was performed to investigate the utility of U-shaped osseous release (USOR) for Le Fort 1 osteotomy as a novel surgical technique for superior repositioning. Thirty-six patients with jaw deformities were divided into 2 groups based on whether or not USOR was adopted (18 in the non-adoption group and 18 in the adoption group). Maxillary surgical time, blood loss, and discrepancy from the planned amount of movement (anterior-posterior and superior-inferior directions) were compared between the 2 groups. Correlations between these items and the planned amount of superior-inferior movement were also examined. There were no significant differences in mean age, preset displacement, surgical time, blood loss, body mass index, or preset displacement error. However, a significant positive correlation was observed between the planned and actual amount of vertical movement only in the adoption group ( P =0.0018). In addition, there was a tendency for the error (downward) to increase as the amount of upward movement increased in the non-adoption group, but not the adoption group. These findings suggest that USOR may be a useful technique because it can safely and conveniently remove bony interference and can enable guidance to a more precise position, especially in cases with substantial superior movement.

摘要

本研究旨在探讨U形骨松解术(USOR)用于Le Fort 1截骨术作为一种新型上移手术技术的实用性。36例颌骨畸形患者根据是否采用USOR分为2组(非采用组18例,采用组18例)。比较两组的上颌手术时间、失血量以及与计划移动量(前后和上下方向)的差异。还检查了这些项目与计划上下移动量之间的相关性。两组在平均年龄、预设移位、手术时间、失血量、体重指数或预设移位误差方面无显著差异。然而,仅在采用组中观察到计划和实际垂直移动量之间存在显著正相关(P = 0.0018)。此外,非采用组中随着向上移动量增加误差(向下)有增加趋势,而采用组则没有。这些发现表明,USOR可能是一种有用的技术,因为它可以安全方便地消除骨干扰,并能引导至更精确的位置,尤其是在有大量上移的病例中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d3/12101878/8e8bca0d2902/scs-36-1114-g001.jpg

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