Igarashi K, Sugawara J, Mitani H, Kawamura H, Satoh S, Nagasaka H
Department of Orthodontics, Tohoku University School of Dentistry, Sendai, Japan.
Int J Adult Orthodon Orthognath Surg. 1995;10(3):219-26.
The case of a patient who had a significant Class II, division 2, malocclusion and experienced myofascial pain dysfunction is presented. The patient was a 22-year-old Japanese woman who complained of pain and fatigue in her masticatory muscles. During presurgical orthodontic treatment, a one-tooth osteotomy was utilized to correct the lingual inclination of an ankylosed maxillary central incisor. The surgery consisted of intrusion of the anterior segment of the maxilla, intrusion of the anterior segment of the mandible, mandibular advancement by sagittal split ramus osteotomy, and trimming of the gonial angles. Postoperatively, her facial appearance and occlusion were good. Furthermore, the function of the temporomandibular joints was improved and the symptoms of myofascial pain and dysfunction disappeared.
本文介绍了一名患有严重II类2分类错牙合畸形并伴有肌筋膜疼痛功能障碍的患者病例。该患者为一名22岁的日本女性，主诉咀嚼肌疼痛和疲劳。在术前正畸治疗期间，采用单牙截骨术矫正上颌中切牙的舌侧倾斜。手术包括上颌前段压低、下颌前段压低、矢状劈开截骨术使下颌前伸以及下颌角修整。术后，她的面部外观和咬合良好。此外，颞下颌关节功能得到改善，肌筋膜疼痛和功能障碍症状消失。
