牵引成骨技术在面部复杂畸形中的应用
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摘要
目的评探讨牵引成骨技术矫治面部复杂畸形的临床疗效。方法对复杂面部畸形采用常规正颌外科手术无法一期解决的面部畸形10例患者,采用牵引成骨技术配合正颌外科技术进行治疗。手术一期置入内置式牵引器,术后1周开始牵引;牵引结束后3～6个月再行二期手术。结果 10例患者均完成牵引成骨,所牵引成骨平均牵引长度18 mm,面部外形及咬关系均得到明显改善。随访2～4年,疗效满意。结论通过牵引成骨技术治疗复杂面部畸形可以达到良好的手术效果,是治疗面部复杂畸形有效的手术方法。
Objective To explore the clinical efficacy of distraction osteogenesis in the treatment of complicated maxillofacial deformities. Methods From January 2012 to 2017, 10 patients with complicated maxillofacial deformities underwent distraction osteogenesis technique treatment combined with the orthognathic surgical technique. An internal retractor was implanted in the first stage of the operation. Traction was performed at 1 week after the operation. The second stage operation was performed from 3 to 6 months after the traction was complete. Results Distraction osteogenesis was completed in all patients, and bones formed in all distraction osteogenesis sites.The average traction length was 18 mm, and the facial contours and occlusion relationships were improved significantly. All patients were followed up from 2 to 4 years. The efficacy was satisfactory. Conclusion The distraction osteogenesis technique was an effective method in the treatment of complicated maxillofacial deformities. The application of the distraction osteogenesis technique can achieve good surgical results.
Objective To explore the clinical efficacy of distraction osteogenesis in the treatment of complicated maxillofacial deformities. Methods From January 2012 to 2017, 10 patients with complicated maxillofacial deformities underwent distraction osteogenesis technique treatment combined with the orthognathic surgical technique. An internal retractor was implanted in the first stage of the operation. Traction was performed at 1 week after the operation. The second stage operation was performed from 3 to 6 months after the traction was complete. Results Distraction osteogenesis was completed in all patients, and bones formed in all distraction osteogenesis sites.The average traction length was 18 mm, and the facial contours and occlusion relationships were improved significantly. All patients were followed up from 2 to 4 years. The efficacy was satisfactory. Conclusion The distraction osteogenesis technique was an effective method in the treatment of complicated maxillofacial deformities. The application of the distraction osteogenesis technique can achieve good surgical results.
引文
[1]周诺,韦山良,覃迪生,等.牵引成骨在矫治牙颌面畸形中的应用[J].广西医科大学学报,2004,21(4):508-510.
[2]颜传杰,沈军,张晏更.牙颌面畸形的牵引成骨[J].中国美容医学, 2004,13(5):623-625.
[3]王璇,张智勇.半侧颜面短小畸形下颌骨牵引成骨术后面部不对称复发的研究进展[J].中国美容整形外科杂志, 2016,27(12):720-722.
[4]尹琳,唐晓军,石蕾,等.计算机辅助设计牵引成骨治疗小颌畸形[J].中国美容医学,2014,23(10):811-814
[5]于洪波,张雷,王旭东,等.面中部牵引成骨结合正颌手术治疗Binder综合征[J].中国口腔颌面外科杂志, 2014,12(4):323-327.
[6] MCCARTHY J G, SCHREIBER J, KARP N, et al. Leng thening the human ma ndible by g radual distraction[J]. Plast Reconstr Surg,1992,89(1):1-8.
[7]王兴,林野.内置式颌骨牵引成骨在疑难牙颌面畸形矫治中的应用—附88例报告[J].北京大学学报(医学版),2001,33(3):258-262.
[8]周彦恒,傅民魁,王兴,等.颌骨牵引成骨术术前术后正畸治疗的初步研究[J].中华口腔医学杂志, 2001,36(1):5-7.
[9]周彦恒.正颌外科患者的术前术后正畸治疗[J].中华口腔医学杂志,2005,40(1):7-9.
[2]颜传杰,沈军,张晏更.牙颌面畸形的牵引成骨[J].中国美容医学, 2004,13(5):623-625.
[3]王璇,张智勇.半侧颜面短小畸形下颌骨牵引成骨术后面部不对称复发的研究进展[J].中国美容整形外科杂志, 2016,27(12):720-722.
[4]尹琳,唐晓军,石蕾,等.计算机辅助设计牵引成骨治疗小颌畸形[J].中国美容医学,2014,23(10):811-814
[5]于洪波,张雷,王旭东,等.面中部牵引成骨结合正颌手术治疗Binder综合征[J].中国口腔颌面外科杂志, 2014,12(4):323-327.
[6] MCCARTHY J G, SCHREIBER J, KARP N, et al. Leng thening the human ma ndible by g radual distraction[J]. Plast Reconstr Surg,1992,89(1):1-8.
[7]王兴,林野.内置式颌骨牵引成骨在疑难牙颌面畸形矫治中的应用—附88例报告[J].北京大学学报(医学版),2001,33(3):258-262.
[8]周彦恒,傅民魁,王兴,等.颌骨牵引成骨术术前术后正畸治疗的初步研究[J].中华口腔医学杂志, 2001,36(1):5-7.
[9]周彦恒.正颌外科患者的术前术后正畸治疗[J].中华口腔医学杂志,2005,40(1):7-9.