Cesteleyn L M, Akuamoa-Boateng E
Br J Plast Surg. 1983 Jan;36(1):16-21. doi: 10.1016/0007-1226(83)90004-8.
Several methods have been described for the surgical correction of mandibular prognathism. Current techniques favour surgical correction at the site of the anomaly itself and in the case of skeletal mandibular prognathism it is the mandibular body that must be cut and shortened. The authors describe two methods of oblique ostectomy and of sagittal splitting with ostectomy of the mandibular body, by which a planned and measured reduction of the size of the mandible can be achieved. The techniques provide a functionally stable osteosynthesis, the optimum conditions for post-operative bone healing and so reduce the period of intermaxillary immobilisation. The special problems of articular derangements of the temporo-mandibular joint due to a stable osteosynthesis can be avoided by the combined use of zygomatico-mandibular positioners and occlusal splints.
已经描述了几种用于下颌前突手术矫正的方法。目前的技术倾向于在异常部位本身进行手术矫正，对于骨骼性下颌前突，必须切割并缩短下颌体。作者描述了两种下颌体斜行截骨术和矢状劈开截骨术，通过这些方法可以实现下颌骨大小的计划性和测量性减小。这些技术提供了功能稳定的骨合成、术后骨愈合的最佳条件，从而减少了颌间固定的时间。通过联合使用颧下颌定位器和咬合夹板，可以避免由于稳定的骨合成导致的颞下颌关节关节紊乱的特殊问题。
