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口内入路下颌角外板矢状劈除矫治下颌角肥大

Ostectomy of lateral cortex around the mandibular angle by intraoral approach for prominent mandibular angle reduction

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【作者】 张如鸿穆雄铮韦敏朱国献

【Author】 ZHANG Ru-hong, MU Xiong-zhen g, WEI Min, et al. Department of Plastic and Reconstructive Surgery, Shanghai 9t h People’s Hospital, Shanghai Second Medical University, Shanghai 200011, China

【机构】 上海第二医科大学附属第九人民医院整复外科上海第二医科大学附属第九人民医院整复外科 200011200011

【摘要】 目的 研究一种新的更有效的下颌角肥大矫治术。方法 对 8例下颌角肥大患者 ,施行口内入路下颌角外板矢状劈除矫治术。结果 经 6个月至 1年的随访 ,双下颌角间距明显缩小 ,双下颌角间距与双颧间距之比平均从 86.80 %下降到 80 .67% ,且升支与体部的角度变化不大 ,体表无瘢痕。结论 该法不仅有效地纠正了下颌角过宽 ,且手术后下颌角保持了自然柔和的外观 ,值得推广应用。

【Abstract】 Objective To evaluate a new method for prominent mandib ul ar angle reduction. Methods Eight patients underwent oste ctomy of the lateral cortex around the mandibular angle by intraoral approach. esults After 6 months to 12 months follow-up, the bigon ial distance was effectively reduced, and the ratio of bigonial distance to bizy gomatic distance was decreased from 86.80 % to 80.67 %, but the change of the gonial angle was not so large. There was no scar on the skin. Conclus ion This new method is worthy to be applied widely because of the go od result with effective reduction of the mandibular width and well natural and gentle gonial angle keeping.

【关键词】 颌畸形下颌修复术
【Key words】 Jaw abnormalitiesMandibularprosthesis
  • 【文献出处】 中华医学美学美容杂志 ,Chinese Journal of Medical Aesthetics and Cosmetology , 编辑部邮箱 ,2003年05期
  • 【分类号】R782.2
  • 【被引频次】33
  • 【下载频次】115
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