Trimble L D, Tideman H, Stoelinga P J
J Oral Maxillofac Surg. 1983 Aug;41(8):544-6. doi: 10.1016/0278-2391(83)90250-1.
The technical details of a modified procedure for separation of the pterygoid plates in low-level maxillary osteotomies is described. The cut is made through the tuberosity and ends at the posterior aspect of the hard palate, medial and anterior to the pterygomaxillary fissure. This technique provides several advantages over the more classically described posterior vertical cut through the pterygomaxillary suture. The major advantages are that it is anatomically less hazardous and allows greater mobility of the segments. It also permits a larger vascular pedicle to be maintained.
本文描述了一种改良的低位上颌骨截骨术中翼突板分离方法的技术细节。切口经结节,止于硬腭后部,翼上颌裂内侧及前方。与经典描述的经翼上颌缝的后垂直切口相比,该技术具有多个优点。主要优点是解剖学上危险性较小,能使骨段有更大的活动度,还能保留更大的血管蒂。