口腔医学 ›› 2022, Vol. 42 ›› Issue (5): 471-475.doi: 10.13591/j.cnki.kqyx.2022.05.017

• 综述 • 上一篇    下一篇

手术优先模式治疗骨性牙颌面畸形的研究进展

樊蓉, 常新   

  1. 大连医科大学附属第二医院正畸科,辽宁大连(116000)
  • 修回日期:2021-10-01 发布日期:2022-05-24
  • 通讯作者: 常 新 E-mail:Chang_xin66@aliyun.com

Advancement of research on the surgery-first approach for correction of dento-maxillofacial deformity

FAN Rong, CHANG Xin   

  1. Department of Orthodontics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116000,China
  • Revised:2021-10-01 Published:2022-05-24

摘要: 手术优先模式(surgery-first approach, SFA)是指患者在正颌手术前绕过术前正畸这一过程,或者只进行短暂简单的术前正畸,继而直接行正颌手术,以此避免术前正畸出现的暂时性面型恶化,并缩短治疗疗程,提高患者满意度。相较于传统的正畸-正颌模式,SFA有较为严格的选择适应证和禁忌证,手术设计及操作难度提高,治疗后的临床效果和长期稳定性的相关研究也较少。SFA作为传统正畸正颌联合治疗的替代方案,是近年来研究热点之一,本文也将从SFA的概念、优缺点、适应证与禁忌证、手术设计等几个方面作一综述。

关键词: 手术优先, 正颌手术, 牙颌面畸形

Abstract: Surgery-first approach (SFA) refers to patients bypassing the preoperative orthodontic process before orthognathic surgery, or performing only a short and simple preoperative orthodontic, and then directly performing orthognathic surgery, in order to avoid temporary face deterioration of orthodontics, shorten the course of treatment and improve patient satisfaction. Compared with conventional orthognathic surgery, SFA has more stringent selection of indications and contraindications. Surgical design and operation are more difficult, while related research on clinical effects and long-term stability after treatment is less. SFA, as an alternative to conventional orthognathic surgery, is one of the hot research topics in recent years. This review will focus on the concept, its advantages and disadvantages, indications and contraindications, surgical design and so on.

Key words: surgery-first approach, orthognathic surgery, dento-maxillofacial deformity

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