下颌不对称畸形的正颌外科矫治  

The Orthognathic Treatment of Mandibular Asymmetry

作　　者：李祖兵[1] 孙国文[1] 东耀峻[1] 杨学文[1] 

机构地区：[1]武汉大学口腔医院口腔颌面外科,湖北武汉430079

出　　处：《华西口腔医学杂志》2004年第6期484-486,共3页West China Journal of Stomatology

摘　　要：目的　探讨正颌手术矫治下颌不对称畸形的方法。方法　对 1989年 1月～ 2 0 0 2年 3月收治的 110例下颌不对称畸形患者进行分类并对手术方法、疗效进行总结。结果　根据患者不同类型的下颌不对称畸形而采用相应的手术方法 ,术后均获得良好的口腔功能及面部外形。结论　下颌不对称畸形在确诊发育已停止的情况下 ,应用正颌手术及结合术前、术后正畸治疗能使下颌不对称畸形获得满意的矫治效果 ,如畸形发育仍在继续 ,矫正时应去除异常的生发中心 ,以免复发。Objective To evaluate the methods of orthognathic treatment for mandibular asymmetry.Methods 110 cases of mandibular asymmetry had been treated in past thirteen years. The type of deformity, the management of the cases, and the effects of orthognathic treatment were summarized in this paper. Orthodontic therapy was taken before and after operation to keep the treatment effect.Results According to the type of the asymmetry deformity, different methods were used. After treatment, all the patients obtained satisfactory facial appearances and oral function.Conclusion It should be diagnosed before surgery whether the development of deformity is steady or not. If it is steady, the effects of orthognathic and orthodontic therapy will be satisfactory; if not, we should remove the affected condyles and simulataneously ameliorate facial appearance.

关 键 词：下颌不对称畸形 正颌外科 正畸治疗 

分 类 号：R782.2[医药卫生—口腔医学]