Spitzer W J, Vanderborght G, Dumbach J
Department of Oral & Cranio-Maxillofacial Surgery, Erlangen-Nuremberg University, Germany.
J Craniomaxillofac Surg. 1997 Apr;25(2):91-6. doi: 10.1016/s1010-5182(97)80051-0.
Fourteen patients who had occlusal disturbance and mandibular malposition following malunited condylar fractures are presented, to demonstrate the variety of surgical corrective procedures used. In order to achieve an anatomically correct mandibular position, a subcondylar osteotomy was performed in 2 patients, and in 11 patients a uni- or bilateral sagittal split osteotomy was carried out. In 1 patient, a Le Fort I osteotomy was the method of choice. In all patients, it was possible to correct the occlusal and mandibular imbalance, as well as to facilitate normal mandibular movement.
本文介绍了14例髁突骨折畸形愈合后出现咬合紊乱和下颌骨位置异常的患者，以展示所采用的各种手术矫正方法。为了使下颌骨达到解剖学上的正确位置，2例患者进行了髁突下截骨术，11例患者进行了单侧或双侧矢状劈开截骨术。1例患者选择了Le Fort I截骨术。所有患者均成功矫正了咬合和下颌骨失衡，恢复了正常的下颌运动。
