口腔医学 ›› 2024, Vol. 44 ›› Issue (1): 16-19.doi: 10.13591/j.cnki.kqyx.2024.01.004

• 颞下颌关节病专栏 • 上一篇    下一篇

成人下颌发育不足的外科矫治

祝颂松()   

  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)
  • 收稿日期:2023-10-31 出版日期:2024-01-28 发布日期:2024-01-22
  • 通讯作者: 祝颂松 E-mail:zss_1977@163.com
  • 作者简介:祝颂松,教授、主任医师、博士研究生导师,四川大学华西口腔医(学)院副院长。中华口腔医学会颞下颌关节病学及牙合学专业委员会主任委员、中华口腔医学会口腔颌面创伤与正颌专业委员会副主任委员、四川省口腔医学会正颌与颞下颌关节专业委员会首任主任委员、国际牙医师学院(ICD)Fellow。主持国家及省部级课题10余项,以第一作者和通信作者发表SCI论文80余篇。获国家发明专利8项,转化金额1 000余万元。以第一完成人获得四川省科技进步奖一等奖等3项。主要研究方向为颞下颌关节外科、牙颌面畸形整复、面部轮廓整形等领域的基础与临床研究。
  • 基金资助:
    国家自然科学基金(82071139)

Surgical correction of adult mandibular deficiency

ZHU Songsong()   

  1. 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
  • Received:2023-10-31 Online:2024-01-28 Published:2024-01-22

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。

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

Abstract:

Mandibular deficiency is one of the common types of dentofacial deformities, which seriously affects patients’ facial aesthetics 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 patients’ normal facial appearance. From the perspective of surgical treatment, this article incorporates the key factor of temporomandibular joint into the diagnosis and treatment design of adult mandibular deficiency, elaborates on commonly used correction methods for adult mandibular deficiency, including orthognathic surgery, temporomandibular 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.

Key words: mandibular deficiency, obstructive sleep apnea(OSA), orthognathic surgery, temporomandibular joint, distraction osteogenesis

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