摘要：

頜面骨骼是面部外形的基礎(chǔ)。臨床上，頜面骨骼畸形主要分為同時(shí)涉及功能與外形的牙頜面畸形和僅涉及外形的面部輪廓畸形。正頜手術(shù)是矯治牙頜面畸形的主要手段，它通過(guò)改變頜骨的三維空間位置改變外形，同時(shí)改善咬合關(guān)系。面部輪廓整形手術(shù)主要采用“削骨”的方式，通過(guò)截除部分骨組織改變頜骨的“量”實(shí)現(xiàn)面部外形改善，一般不涉及功能。在臨床上，聯(lián)合運(yùn)用正頜手術(shù)與面部輪廓整形手術(shù)的情況日趨常見(jiàn)。這也要求口腔頜面外科醫(yī)生具有頜面骨骼矯治的整體思維，將牙頜面畸形與面部輪廓畸形進(jìn)行綜合分析，才能達(dá)到最理想的矯治效果。筆者所在團(tuán)隊(duì)一直從事牙頜面畸形與面部輪廓畸形的臨床工作，在頜面骨骼綜合矯治方面積累了較為豐富的臨床經(jīng)驗(yàn)。本文對(duì)頜面骨骼綜合矯治的適應(yīng)證、矯治目標(biāo)、治療模式、常規(guī)治療方法以及手術(shù)操作中的難點(diǎn)問(wèn)題進(jìn)行評(píng)述。

關(guān)鍵詞: 面部輪廓畸形, 牙頜面畸形, 正頜外科, 頜面骨骼, 頜骨整形

Abstract:

The maxillofacial skeleton is the basis of the contour of the face. Orthognathic surgery and facial contouring surgery change jaw tissue and affect facial appearance in different manners. Orthognathic surgery is the main method to correct dental and maxillofacial deformities. It changes the shape of the jaw and improves the occlusal relationship by changing the three-dimensional position of the jaw. Facial contouring surgery mainly adopts the method of “bone reduction”, which changes the “amount”of the jawbone by cutting a part of the bone tissue to improve the facial appearance, generally without changing oral function. The combined use of orthognathic surgery and facial contouring surgery is becoming increasingly common in clinical practice. This also requires oral and maxillofacial surgeons to have a holistic consideration of the comprehensive correction of maxillofacial bone deformity, and to perform comprehensive analysis of jaw deformities and jaw plastic surgery to achieve the most ideal results. The author's team has been engaged in the clinical work of orthognathic surgery and facial contouring surgery and accumulated rich clinical experience in the comprehensive correction of maxillofacial bone deformity. In this article, the indications, treatment goals, treatment modes, treatment methods, and key points in the surgical operations of comprehensive maxillofacial bone surgery were summarized.

Key words: facial contouring surgery, dentofacial deformities, orthognathic surgery, maxillofacial bone, facial osteoplasty

中圖分類(lèi)號(hào): 

R 782.2

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網(wǎng)址: 頜面骨骼綜合矯治——正頜外科與面部輪廓整形的聯(lián)合應(yīng)用與思考 http://www.u1s5d6.cn/newsview855092.html