第一二鳃弓综合征口腔颌面畸形的序列治疗经验  

Sequential treatment of oral and maxillofacial deformities with hemifacial microsomia

作　　者：王旭东[1] 朱敏[1] Wang Xudong;Zhu Min(Department of Oral&Cranio-maxillofacial Surgery,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine&College of Stomatology,Shanghai Jiao Tong University&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Shanghai Key Laboratory of Stomatology&Shanghai Research Institute of Stomatology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颅颌面科、上海交通大学口腔医学院、国家口腔医学中心、国家口腔疾病临床医学研究中心、上海市口腔医学重点实验室、上海市口腔医学研究所,上海200011

出　　处：《中华口腔医学杂志》2023年第8期781-790,共10页Chinese Journal of Stomatology

基　　金：国家自然科学基金(82001027,82071096);科技基础资源调查项目(2018FY101001)。

摘　　要：第一二鳃弓综合征(又称半侧颜面短小,hemifacial microsomia,HFM)是常见的颅颌面先天性发育畸形之一,其发病率仅次于唇腭裂。HFM累及下颌、耳、眼眶等,其中口腔颌面部畸形以半侧下颌骨发育不全及半侧软组织发育不足为特征性表现,且患者的临床表现个体差异较大,临床治疗需根据不同年龄阶段和不同程度的组织畸形制订相应的治疗方案。根据笔者的临床治疗经验,本文从患者的年龄及分型出发,提出对HFM口腔颌面部畸形序列治疗的建议,以期为口腔医师临床决策提供参考。The incidence of the first and second branchial arch syndrome namely hemifacial microsomia(HFM)is the second only to cleft lip and palate,and it is a very common craniofacial developmental deformity.This congenital condition affects the development of the orbit,ear,and mandible,and the clinical manifestations of each patient are significantly heterogeneous.Clinical treatment needs to formulate corresponding treatment measures according to different degrees of tissue deformity at different ages.This article puts forward personal suggestions for the sequential treatment of oral and maxillofacial deformities of HFM from the perspective of patient age and classification.

关 键 词：颌面畸形 第一二鳃弓综合征 多学科治疗 序列治疗 

分 类 号：R782.2[医药卫生—口腔医学]