下颌升支矢状劈开联合下颌下缘骨切除术矫正骨性反合并下颌骨过宽过长畸形  

Simultaneous mandibular margin resection and sagittal split ramus osteotomy for correction of osseous crossbite occlusion with large prominent mandible

作　　者：郭军[1] 张强[1] 常财旺[1] 孟志兵[1] 杨乐[1] 黄锦华[1] 

机构地区：[1]扬州大学第二临床医学院颌面外科中心,江苏扬州225000

出　　处：《中国美容医学》2013年第1期27-30,共4页Chinese Journal of Aesthetic Medicine

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12例下颌前突畸形合并下颌骨过宽过长患者同期进行了下颌升支矢状劈开下颌前突矫正术及下颌下缘骨切除术。结果:经术后1～2年随诊观察,12例患者均取得满意疗效,获得协调的上下颌关系,面下份形态轮廓恢复良好。结论:下颌前突畸形合并下颌骨过宽过长患者同期行下颌升支矢状劈开下颌前突矫正术及下颌下缘骨切除术,配合术前、术后的正畸治疗,降低了术中意外和术后并发症,弥补了传统行SSRO的不足,使患者恢复咬合功能的同时充分改善面部形态轮廓,达到面部整形美学标准。Objective To Summarize our experience in orthognathic surgery for Correction of mandibular prognathism. Methods 12 cases with prognathism and large prominent mandibular underwent mandibular margin resection and bilateral modified sagittal split ramus osteotomy （SSRO）. Results with routinely follow - up ranging from 1 year to 2 years,all cases acquired satisfied effect,gained coordinate maxillomandibular relation, the lower facial greatly improved. Conclusion The clinical effect of mandibular margin resection and sagittal split ramus osteotomy combined with Pre- and post surgical orthodontic treatment for prognathism with large prominent mandibular is successful,the risk of operation and complications are reduced,It is a useful modification of the conventional BSSRO,greatly improved the articulation function and face type of all the patients, also obtained plastic surgery esthetic results.

关 键 词：下颌前突 下颌下缘 正颌外科 

分 类 号：R782[医药卫生—口腔医学]