牵张成骨技术在治疗疑难牙颌面畸形中的应用  

Application of internal distraction osteogenesis for the treatment of complicated teeth-maxillofacial deformity

作　　者：陈宇轩[1] 韩小宪[1] 牛学刚[1] 陈书军[1] 林雪梅[1] 魏晓总[1] 

机构地区：[1]解放军第252医院口腔科,保定071000

出　　处：《实用口腔医学杂志》2015年第6期815-820,共6页Journal of Practical Stomatology

基　　金：全军医药卫生科研面上项目B类课题(编号:06MB086)

摘　　要：目的：探讨内置式牵张成骨技术在治疗疑难牙颌面畸形中的应用及价值。方法：回顾性分析10例应用内置式牵张成骨技术治疗的多类疑难牙颌面畸形临床资料。一期使用内置式牵张器,依据畸形的不同部位和类型采用不同的方式进行骨牵引延长;二期配合正颌外科、腓骨瓣移植等手术方法进一步矫治配合正畸、牙种植体等修复方法治疗。结果：10例患者均顺利完成牵张成骨,牵张成骨距离7-70 mm牙颌面畸形均得到明显改善。经二期常规外科手术及修复方法进一步治疗后患者的面形和咬合关系均得到满意矫治。结论：内置式牵张成骨技术是治疗各类复杂疑难牙颌面畸形的有效手段,可以为最终重建咬合关系和实现功能性修复提供基础。Objective：To evaluate the effect of internal distraction osteogenesis in the treatment of complicated teeth-maxillofacial deformity.Methods：Clinical data of 10 cases with complicated teeth-maxillofacial deformity were analyzed retrospectively.In the first stage,the patients were operated by internal distraction osteogenesis.In the second stage,the distractor was removed after 3 to 6months of consolidation period,followed by other operation for further occlusal reconstruction.Results：All the operations were performed as planned.The distraction distance was 7-70 mm.The distraction process was smooth in all the cases.Occlusion was reconstructed and the deformity was corrected by following operation satisfactorily.Conclusion：Internal distraction osteogenesis is effective in the treatment of complicated teeth-maxillofacial deformity for further occlusal reconstruction and functional repair.

关 键 词：牵张成骨 牙颌面畸形 颌骨缺损 

分 类 号：R782.2[医药卫生—口腔医学]