成人下颌发育不足的外科矫治  

Surgical correction of adult mandibular deficiency

作　　者：祝颂松[1] ZHU Songsong(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Orthognathic and TMJ Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正颌及关节外科,四川成都610041

出　　处：《口腔医学》2024年第1期16-19,共4页Stomatology

基　　金：国家自然科学基金(82071139)。

摘　　要：下颌发育不足是牙颌面畸形的常见类型之一,严重影响患者的面部美观和咬合功能。外科矫治是目前最有效的治疗方法,可以通过手术治疗改变下颌骨位置和形态,恢复患者正常面部外形。本文从外科治疗的角度,将颞下颌关节这一关键因素纳入成人下颌发育不足的诊疗设计中,阐述成人下颌发育不足的常用矫治方法,包括正颌外科手术、颞下颌关节外科手术、正畸-正颌联合治疗和牵张成骨技术等,总结不同类型成人下颌发育不足的治疗流程。为临床医生治疗该疾病提供参考,提高这一疾病的治疗水平。Mandibular deficiency is one of the common types of dentofacial deformities,which seriously affects patientsfacial aes⁃thetics and occlusal function.Surgical correction is currently the most effective treatment method,which can change the position and shape of the mandible through surgical treatment and restore patientsnormal facial appearance.From the perspective of surgical treat⁃ment,this article incorporates the key factor of temporomandibular joint into the diagnosis and treatment design of adult mandibular de⁃ficiency,elaborates on commonly used correction methods for adult mandibular deficiency,including orthognathic surgery,tem⁃poromandibular joint surgery,orthodontic⁃orthognathic joint treatment,and distraction osteogenesis technology.The treatment processes for different types of adult mandibular deficiency are summarized,in order to provide reference for clinicians and improve the treatment of this disease.

关 键 词：成人下颌发育不足 阻塞性睡眠呼吸暂停 正颌外科 颞下颌关节 牵张成骨 

分 类 号：R782.23[医药卫生—口腔医学] R783.5[医药卫生—临床医学]