摘要
目的探讨耳髁突综合征患者下颌及面部轮廓整形的临床治疗方法。方法针对患者受累程度不同，在数字化外科技术指导下，采用双侧下颌骨牵张成骨、上颌LeFort I型截骨、颏部截骨整形、假体隆颏术、假体填充下颌骨区，同时配合正畸治疗等序贯综合治疗。结果共诊治3例患者，全部患者面部轮廓改善，2例重型患者咬合功能改善、睡眠打鼾消失，治疗效果满意。结论对于下颌骨双侧严重受累患者，可采用双侧下颌骨牵张成骨及面部轮廓整形，配合正畸治疗，对于轻度受累患者．可采用单纯轮廓修整手术，均能得到满意效果。
Objective To present the overall therapy to con＇ect mandible deformities and modify facial contour of patients who have been diagnosed as auriculo--condylar syndrome （ACS） in our hospital. Methods We formulate effective therapeutic plan for every single patient based on digital surgical techniques. Three patient received individualized therapy, which include bilateral Distraction osteogenesis, orthodontic treatment, genioplasty, LeFort I osteotomy, Chin augmentation with porous polyethylene implant, or mandibular contour correction with porous polyethylene implant. Results All three patients gained satisfactory surgical results. Occlusal function and sleeping quality in 2 severe patients was significantly improved. Conclusions Clinical features of ACS is complex, which may range from mild to severe in different patients. Individualized therapeutic plan of comprehensive treatment should be estabished after facial deformity evaluation and surgical simulation based on surgical techniques.
作者
杨亦楠
唐晓军
张智勇
石蕾
刘伟
尹琳
尹宏宇
Yang Yinan;Tang Xiaojun;Zhang Zhiyong;Shi Lei;Liu Wei;Yin Lin;Yin Hongyu(Department of MaxiUofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2018年第4期279-283,共5页
Chinese Journal of Plastic Surgery
基金
北京市科学技术委员会（Z141107002514049）
国家公益性行业科研专项基金资助（201502016）
关键词
耳髁突综合征
面部轮廓
下颌骨畸形
牵引成骨
Auriculo-condylar syndrome
Facial contour
Mandibular deformity
Distractionosteogenesis
