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Ⅱ类患者双侧下颌支矢状劈开术后两侧髁突的变化

The bilateral condylar changes of patients with skeletal class Ⅱ deformity after sagittal split ramus osteotomy

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【作者】 吕锦杨学文

【Author】 LV Jin;YANG Xue-wen;The State Key Laboratory Breeding Base of Basic Science of Stomatology(Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education,School and Hospital of Stomatology,Wuhan University;Department of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,Wuhan University;

【机构】 教育部口腔医学生物工程重点实验室(武汉大学)武汉大学口腔医学院口腔颌面创伤与整形美容外科

【摘要】 目的:探讨Ⅱ类患者下颌前移术后双侧髁突变化的规律。方法:收集11例成人骨性Ⅱ类错牙合畸形患者,行双侧下颌支矢状劈开术(bilateral sagittal split ramus osteotomy,BSSRO)术前、术后的锥形束CT数据,利用Mimics软件测量分析横断面上双侧髁突角度及体积变化。结果:术前术后双侧的髁突角度没有显著差异,术后左侧髁突角度总体变化不明显,右侧髁突角度变大,并且双侧变化量差异具有统计学意义。双侧髁突术后体积减小,右侧变化显著大于左侧。结论:BSSRO改善患者Ⅱ骨性畸形术后,双侧髁突的变化表现出不一致性,右侧变化较左侧明显。

【Abstract】 Objective: To investigate the rule of the bilateral condylar changes in patients with skeletal class Ⅱ deformity after bilateral sagittal split ramus osteotomy. Methods: To take advantage of Mimics software to analysis the condylar angle in the axial plane as well as the condylar volumes of 11 patients pre-and post-surgery through their CBCT data. Results: The angle and volume changes both show that the change rate of right side were much more obvious than the left side.Conclusion: Patients with skeletal class Ⅱ deformity after BSSRO,their bilateral condyle shows unparallel changes,and the right side is more significant.

【基金】 武汉市科技局资助项目(2015061701011641);武汉大学医学部教学改革研究项目(2017046)
  • 【文献出处】 临床口腔医学杂志 ,Journal of Clinical Stomatology , 编辑部邮箱 ,2018年01期
  • 【分类号】R783.5
  • 【下载频次】58
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