基于骨性受累进行性半侧颜面萎缩的临床分型与治疗策略  

Clinical classification and surgical strategy of Parry-Romberg syndrome based on bone involvement

作　　者：刘伟 张智勇[1] 唐晓军[1] 尹琳[1] 石蕾[1] 尹宏宇[1] 

机构地区：[1]中国医学科学院北京协和医学院整形外科医院颌面整形外科中心,北京100144

出　　处：《中国美容整形外科杂志》2017年第8期451-453,460,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：首都临床特色应用研究课题(Z141107002514049);北京协合医学院小规模特色办学经费(42010210-004)

摘　　要：目的探讨基于骨性受累进行性半侧颜面萎缩的临床分型与治疗策略。方法对2009-2016年收治51例进行性半侧颜面萎缩患者,根据面部骨骼受累的程度,提出不同的分型与治疗策略。Ⅰ型面部骨骼未受累,其治疗策略是面部软组织的形态重塑;Ⅱ型面部骨骼受累,口颌功能未受累,其治疗策略是面部软组织以及骨组织的形态重塑;Ⅲ型面部骨骼及口颌功能均受累,其治疗策略是口颌系统的功能重建以及面部轮廓的形态重塑。结果 51例患者获随访6~36个月,Ⅰ、Ⅱ型患者面部对称性得到明显改善;Ⅲ型患者中,5例获得良好的口颌功能重建以及骨与软组织的形态重塑。结论该分型对于规范与指导进行性半侧颜面萎缩的治疗具有临床意义。Objective To explore the clinical classification and surgical strategy of Parry-Romberg syndrome based on bone involvement. Methods From 2009 to 2016, a total of 51 patients with Parry-Romberg syndrome were involved in the study. All patients were classified into 3 groups depending on the extent of facial bone involvement. Type Ⅰ consisted of patients without facial bone involvement. The surgical strategy for this group was morphological remodeling of facial soft tissue. Patients with facial bone involvement and without oral and maxillofacial function involvement served as type Ⅱ. For this group, the surgical strategy was morphological remodeling of facial soft tissue and bone tissue. Type Ⅲ consisted of patients with both facial bone and oral and maxillofacial function involvement. In these cases, the surgical strategy was remodeling of oral and maxillofacial function and facial contour. Results All patients were followed-up from 6 to 36 months. Facial symmetry was obviously improved in type Ⅰ and Ⅱ and 5 patients obtained good remodeling of oral and maxillofacial function and bone and soft tissue morphology. Conclusion This clinical classification was helpful to regulate and guide the treatment of Parry-Romberg syndrome.

关 键 词：进行性半侧颜面萎缩 临床分型 治疗策略 骨骼 

分 类 号：R782.2[医药卫生—口腔医学]