牵张成骨技术在治疗疑难牙颌面畸形中的应用

发布时间：2018-03-04 06:35

本文选题：牵张成骨　切入点：牙颌面畸形　出处：《实用口腔医学杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的:探讨内置式牵张成骨技术在治疗疑难牙颌面畸形中的应用及价值。方法:回顾性分析10例应用内置式牵张成骨技术治疗的多类疑难牙颌面畸形临床资料。一期使用内置式牵张器,依据畸形的不同部位和类型采用不同的方式进行骨牵引延长;二期配合正颌外科、腓骨瓣移植等手术方法进一步矫治配合正畸、牙种植体等修复方法治疗。结果:10例患者均顺利完成牵张成骨,牵张成骨距离7~70 mm牙颌面畸形均得到明显改善。经二期常规外科手术及修复方法进一步治疗后患者的面形和咬合关系均得到满意矫治。结论:内置式牵张成骨技术是治疗各类复杂疑难牙颌面畸形的有效手段,可以为最终重建咬合关系和实现功能性修复提供基础。
[Abstract]:Objective: to investigate the application and value of built-in distraction osteogenesis in the treatment of difficult maxillofacial malformations. Methods: the clinical data of 10 cases of complicated maxillofacial deformities treated by built-in distraction osteogenesis were retrospectively analyzed. The first phase uses a built-in stretcher, According to different parts and types of deformities, bone traction was extended in different ways, the second stage combined with orthognathic surgery, fibular flap transplantation, and so on. Results the distraction osteogenesis was successfully completed in 10 patients. The distraction osteogenesis distance of 7mm and 70mm was obviously improved. The facial shape and occlusal relationship of the patients were treated satisfactorily after the second stage routine surgery and repair. Conclusion: the technique of built-in distraction osteogenesis is satisfactory. Surgery is an effective method for the treatment of complicated and difficult maxillofacial deformities. It can provide the foundation for the final reconstruction of the occlusion relationship and the realization of functional repair.
【作者单位】：解放军第252医院口腔科;
【基金】：全军医药卫生科研面上项目B类课题(编号:06MB086)
【分类号】：R782.2

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