下颌升支矢状劈开术矫治下颌偏斜畸形  

Correction of Lateral Deviation of Mandible with the Intraoral Sagittal Split Ramus Osteotomy

作　　者：牛峰[1] 归来[1] 张智勇[1] 滕利[1] 黄绿萍[1] 俞冰[1] 刘剑锋[1] 孙晓梅[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院颅颌面外科,100041

出　　处：《整形再造外科杂志》2006年第1期15-16,27,共3页

摘　　要：目的探讨下颌升支矢状劈开截骨术(SSRO)矫治下颌偏斜畸形的作用。方法选取32例下颌偏斜畸形患者,其中一侧下颌升支发育过长者13例,一侧下颌升支发育短小者19例。采用经口内入路的下颌升支矢状劈开截骨术结合口腔正畸术治疗,12例同时行颏成形术,平均随访12个月(10～18个月)。结果术后刀口均Ⅰ期愈合,无术中及术后严重并发症。32例患者的外形与功能均恢复良好。结论下颌升支矢状劈开术治疗下颌偏斜畸形是一种有效的治疗方法,结合颏成形术及口腔正畸术治疗,可以获得满意的治疗结果。Objective To investigate the effect of intraoral sagittal split ramus osteotomy in patient with lateral deviation of mandible.Methods 32 cases were selected who suffered of lateral deviation of mandible to received sagittal split ramus osteotomy and orthodontic therapy, among the total, 12 cases were received genioplasty at the same time.Results 32 cases recovered well in contour and function without serious complications in or after operations.Conclusion The sagittal split ramus osteotomy could be an effective method to treat lateral deviation of mandible comparatively.Combinded with genioplasty,it could bring about satisfying result.

关 键 词：下颌升支矢状劈开 矢状劈开术 矫治 下颌偏斜畸形 升支矢状劈开截骨术 术治疗 口腔正畸 颏成形术 严重并发症 治疗结果 治疗方法 术后 口内入路 患者 发育 Ⅰ期愈合 选取 外形 随访 功能 

分 类 号：R[医药卫生]