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正颌外科矫治下颌前突畸形的临床体会

Clinical Study on Orthognathic Surgery For Mandibular Prognathism

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【作者】 王忠厚; 柴健; 姜志伟; 董大正;

【Author】 WANG Zhong-hou,CHAI Jian,JIANG Zhi-wei,DONG Da-zhen(Department of Stomatology,The First Affiliated Hospital of Baotou Medical College,Baotou 014010 China)

【机构】 包头医学院第一附属医院口腔科;

【摘要】 目的:总结正颌外科矫治下颌前突畸形的临床体会。方法:对6例下颌前突畸形患者进行了正颌外科矫治手术,其中5例行双侧改良式SSRO,1例行双侧改良式SSRO加LefortⅠ型截骨术。结果:经术后1~5年随诊观察,6例患者均取得满意疗效,获得协调的上下颌关系,1例畸形轻度复发。结论:下颌前突畸形患者采用双侧改良式SSRO,配合术前、术后的正畸治疗,能明显改善面部外形和咬牙合关系,改善咀嚼功能。

【Abstract】 Objective:To Summarize our experience in orthognathic surgery for Correction of mandibular prognathism.Methods: 6 cases with mandibular prognathism underwent surgery treatment to move the mandibles back.5cases underwent bilateral modified sagittal split ramus osteotomy(SSRO),1case underwent bilateral modified sagittal split ramus osteotomy(SSRO) and maxillary advancement lefort Ⅰ osteotomy.Results: with routinely follow-up ranging from 1 year to 5 years,6 cases acquired satisfied effect,gained coordinate maxillomandibular relation,1case mandibular prognathism slightly recurred.Conclusion: The clinical effect of bilateral modified sagittal split ramus osteotomy(SSRO) Combined with Pre-and post surgical orthodontic treatment for mandibular prognathism is successful,It is greatly improved the face type and dental articulation of all the patients,the masticatory function is also improved.

【关键词】 正颌外科; 下颌前突; 矫治;
【Key words】 Orthognathic surgery; Mandibular prognathism; Correction;
  • 【文献出处】 内蒙古医学杂志 ,Inner Mongolia Medical Journal , 编辑部邮箱 ,2010年06期
  • 【分类号】R783.5
  • 【被引频次】2
  • 【下载频次】79
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