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下颌骨牵张成骨的临床应用实践

姜楠 祝颂松

口腔颌面外科杂志2025,Vol.35Issue(4):245-250,6.
口腔颌面外科杂志2025,Vol.35Issue(4):245-250,6.DOI:10.12439/kqhm.1005-4979.2025.04.001

下颌骨牵张成骨的临床应用实践

Clinical application of mandibular distraction osteogenesis

姜楠 1祝颂松1

作者信息

  • 1. 口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正颌及关节外科,成都 610041
  • 折叠

摘要

Abstract

Distraction osteogenesis(DO)is a surgical technique that promotes new bone formation by gradually pulling apart bone segments using a specialized distraction device.Initially developed for orthopedic surgery,DO was introduced into craniofacial surgery in the 1990s and has since been widely applied in the treatment of mandibular hypoplasia and jaw defect reconstruction.This paper reviews the fundamental principles,technical aspects,indications,advantages,and disadvantages of mandibular distraction osteogenesis,and discusses different distraction modes,including unifocal,bifocal,and trifocal distraction.The advantages of DO include the avoidance of bone grafting,minimal surgical trauma,and simultaneous soft tissue expansion.However,its long treatment duration and associated complications remain challenges for broader clinical application.In the future,the integration of imaging navigation and artificial intelligence is expected to enhance surgical precision and treatment stability.

关键词

牵张成骨/矫形外科/颌骨缺损/下颌骨

Key words

distraction osteogenesis/orthopedic surgery/jaw defect/mandible

分类

医药卫生

引用本文复制引用

姜楠,祝颂松..下颌骨牵张成骨的临床应用实践[J].口腔颌面外科杂志,2025,35(4):245-250,6.

基金项目

四川省国际科技创新合作项目(2025YFHZ0191) (2025YFHZ0191)

四川大学华西口腔医院探索与研发项目资助(LCYJ-ZD-202302) (LCYJ-ZD-202302)

口腔颌面外科杂志

1005-4979

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