组织工程与重建外科杂志2017，Vol.13Issue(3)：136-138,3.DOI:10.3969/j.issn.1673-0364.2017.03.005
双颌前部根尖下截骨术对双颌前突患者硬组织的影响
Impact of Anterior Maxillary and Mandibular Subapical Osteotomy on Hard Tissue in the Treatment of Bimaxillary Protrusion
解芳 1徐家杰 1卢建建 1张超 1杨莉亚 1李澍源 1滕利1
作者信息
- 1. 100144 北京市 中国医学科学院整形外科医院整形五科
- 折叠
摘要
Abstract
Objective To explore the impact on hard tissue after preoperative modeling and bimaxillary anterior subapical osteotomy for the treatment of bimaxillary protrusion. Methods The subjects included 20 patients with bimaxillary protrusion who underwent anterior subapical osteotomy of both the maxilla and mandible, and simultaneous genioplasty, from September 2003 to October 2014. Based on model surgical design and an occlusal guide plate, new hard tissue relationships were established for the patients. In addition, the pre- and postoperative cephalometric radiographs were systematically analyzed. Results All the surgical incisions healed by first intention with no infection or osteonecrosis. Significant differences were observed in the pre- and postoperative values of the hard tissue parameters, except for SGn-FH and Co-MP. The most obviously significant differences were seen in Id-Pog-Go (P<0.001). Postoperative follow-up lasted for 12-36 months. All patients eventually achieved normal jaw relationships, tooth arch forms and Spee curves. No evident irregularities of teeth arrangement or abnormal occlusal relationships were observed. All patients were satisfied with their postoperative facial appearance, except for one patient who underwent repeat surgery because of relapse. Conclusion With the use model surgical, orthognathic surgery, a simple and time-saving technique, can be used to correct bimaxillary protrusion with satisfactory postoperative hard tissue relationship and facial esthetic appearance, and minimal postoperative complications.关键词
双颌前突/正颌外科/头影测量/模型外科Key words
Bimaxillary protrusion/Orthognathic surgery/Cephalometric/Model surgery分类
医药卫生引用本文复制引用
解芳,徐家杰,卢建建,张超,杨莉亚,李澍源,滕利..双颌前部根尖下截骨术对双颌前突患者硬组织的影响[J].组织工程与重建外科杂志,2017,13(3):136-138,3.
