手术优先模式在治疗下颌前突畸形中的应用  

Application of Surgery-First Approach in the Treatment of Mandibular Protrusion

作　　者：蒙歌 杨斌 MENG Ge;YANG Bin(Plastic Surgery Hospital（INSTITUTE）,CAMS,PUMC Digital Technology Plastic Center Orthognathic Surgery,Beijing 100144,China)

机构地区：[1]中国医学科学院整形外科医院数字化整形中心颌面外科,北京100144

出　　处：《中国美容医学》2018年第4期144-147,共4页Chinese Journal of Aesthetic Medicine

基　　金：北京市科技计划首都临床特色应用研究项目(Z151100004015056)

摘　　要：目前,下颌前突主要采用正畸正颌联合治疗,为了达到患者满意的效果,常规治疗模式的主要过程需要先进行牙齿矫正治疗,再用外科方式矫正颌骨畸形,术后再进行牙齿矫正治疗。与之相比,以外科手术治疗颌骨畸形作为治疗的第一步,再通过牙齿矫正将咬牙合关系调整到最佳状态,是一种治疗下颌前突畸形新的方式,表现出了治疗时间的缩短并能较快地改善面部美观,对于成人的社交工作活动方面是有利的。现就其形成、治疗步骤及优缺点综述如下。At present,mandibular protrusion is mainly treated by orthodontic-orthognathic surgery. In order to achieve satisfactory results, the main process of conventional orthognathic surgery treatment mode is： Advanced orthodontic treatment, surgical correction of jaw deformity, and postoperative orthodontic treatment. Compared with conventional treatment mode, Surgery-First Approach mode uses surgical treatment of jaw deformity as the frst step of treatment, then adjusts the occlusion relation to the best state by orthodontics, which has advantageous for adult social work activities by is shorting the treatment time and improving facial appearance quickly.We will discuss it’s formation,treatment steps, advantages and disadvantages in this paper.

关 键 词：下颌前突 骨性Ⅲ类 手术优先 正颌外科 

分 类 号：R782.23[医药卫生—口腔医学]