下颌支矢状骨劈开术并发症防治的专家共识

doi:10.7518/hxkq.2022.03.001

华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (3): 247-254.doi: 10.7518/hxkq.2022.03.001

• 专家共识 • 下一篇

下颌支矢状骨劈开术并发症防治的专家共识

祝颂松¹(), 王旭东², 杨学文³, 王晓霞⁴, 田磊⁵, 刘曙光⁶, 郑广森⁷, 唐正龙⁸, 吴国民⁹, 李志勇¹⁰, 白晓峰¹¹, 黄旋平¹², 黄立¹³, 习伟宏¹⁴, 朱耀旻¹⁵

^1.口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院，成都 610041
^2.上海交通大学医学院附属第九人民医院口腔颅颌面科上海交通大学口腔医学院国家口腔医学中心国家口腔疾病临床医学研究中心上海市口腔医学重点实验室上海市口腔医学研究所，上海 200011
^3.武汉大学口腔医学院·口腔医院口腔颌面外科，武汉 430079
^4.北京大学口腔医院口腔颌面外科，北京 100081
^5.军事口腔医学国家重点实验室口腔疾病国家临床医学研究中心陕西省口腔疾病临床医学研究中心空军军医大学口腔医学院口腔颌面外科，西安 710032
^6.南方医科大学口腔医院颌面外科，广州 510280
^7.中山大学附属口腔医院口腔颌面外科广东省口腔医学重点实验室中山大学光华口腔医学院，广州 510055
^8.贵州医科大学附属口腔医院口腔颌面外科，贵阳 550004
^9.吉林大学口腔医院口腔颌面外科，长春 130021
^10.浙江大学医学院附属口腔医院浙江省口腔生物医学研究重点实验室，杭州 310063
^11.中国医科大学口腔医学院·附属口腔医院口腔颌面外科辽宁省口腔疾病重点实验室，沈阳 110002
^12.广西医科大学附属口腔医院广西口腔颌面修复与重建研究自治区级重点实验室广西颅颌面畸形临床医学研究中心颌面外科疾病诊治研究重点实验室，南宁 530021
^13.福建医科大学附属第一医院口腔颌面外科福建医科大学面部整复与重建研究室，福州 350005
^14.南昌大学附属口腔医院口腔颌面外科江西省口腔生物医学重点实验室，南昌 330006
^15.深圳大学总医院口腔颌面外科，深圳 518000

收稿日期:2021-12-21 修回日期:2022-04-14 出版日期:2022-06-01 发布日期:2022-06-01
通讯作者: 祝颂松 E-mail:zss_1977@163.com
作者简介:祝颂松，教授，博士，E-mail：zss_1977@163.com·专家简介·祝颂松教授，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及学专业委员会候任主任委员，中华口腔医学会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主任委员。主持国家及省部级课题共10余项，以第一或通讯作者发表SCI论文62篇，国家发明专利共6项，主、参编专著教材共6部，以第一完成人获得四川省科技进步奖一等奖等共3项。四川省卫健委学术技术带头人，教育部新世纪优秀人才。主要研究方向为牙颌面畸形整复、面部轮廓整形、牵张成骨、数字化外科技术应用、颞下颌关节外科等领域的基础与临床研究。
基金资助:
四川大学华西口腔医院临床前沿技术研发项目(LCYJ-2020-YF-1)

Experts’ consensus on precaution and treatment for complications of sagittal split ramus osteotomy

Zhu Songsong¹(), Wang Xudong², Yang Xuewen³, Wang Xiaoxia⁴, Tian Lei⁵, Liu Shuguang⁶, Zheng Guangsen⁷, Tang Zhenglong⁸, Wu Guomin⁹, Li Zhiyong¹⁰, Bai Xiaofeng¹¹, Huang Xuanping¹², Huang Li¹³, Xi Weihong¹⁴, Zhu Yaomin¹⁵

^1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^2.Dept. of Oral and Craniomaxillofacial Surgery, Shanghai Ninth Peoples Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China
^3.Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
^4.Dept. of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China
^5.Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases ＆ Shaanxi Clinical Research Center for Oral Diseases, Dept. of Oral and Maxillofacial Surgery, School of Stomatology, The Air Force Medical University, Xi’an 710032, China
^6.Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Southern Medicine University, Guangzhou 510280, China
^7.Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
^8.Dept. of Oral and Maxillofacial Surgery, Stomatological Hospital of Guizhou Medical University, Guiyang 550004, China
^9.Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Jilin University, Changchun 130021, China
^10.The Affiliated Stomatology Hospital, Zhejiang University School of Medicine; Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
^11.Dept. of Oral and Maxillofacial Surgery, China Medical University School and Hospital of Stomatology, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang 110002, China
^12.Guangxi Medical University College of Stomatology, Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Clinical Research Center for Craniofacial Deformity, Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment, Nanning 530021, China
^13.Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Laboratory of Facial Rehabilitation and Reconstruction, Fujian Medical University, Fuzhou 350005, China
^14.Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine Jiangxi Province, Nanchang 330006, China
^15.Dept. of Oral and Maxillofacial Surgery, Shenzhen University General Hospital, Shenzhen 518000, China

Received:2021-12-21 Revised:2022-04-14 Online:2022-06-01 Published:2022-06-01
Contact: Zhu Songsong E-mail:zss_1977@163.com
Supported by:
Frontier Clinical Technology Research Project of West China Hospital of Stomatology, Sichuan University(LCYJ2020-YF-1);Correspondence: Zhu Songsong, E-mail: zss_1977@163.com

摘要/Abstract

摘要：

下颌支矢状骨劈开术（SSRO）是正颌外科中最为常用的一类矫治下颌骨畸形的手术。由于局部解剖和操作步骤的复杂性，SSRO出现各类并发症的可能性较大，甚至可能造成严重的不良后果。诊疗策略的选择及转归与并发症的类型及其临床表现密切相关。为此，国内相关专家编写本共识，对SSRO各类常见并发症的原因、预防、处置措施进行阐述，以期提高广大同行对SSRO并发症的认识，确保手术安全进行并获得良好效果。

关键词: 下颌支矢状骨劈开术, 正颌外科, 并发症, 专家共识, 牙颌面畸形

Abstract:

Sagittal split ramus osteotomy (SSRO) is a versatile orthognathic procedure for correcting mandibular deformities. Various complications can possibly occur when performing SSRO, and it can even cause serious adverse consequences because of the complexity of anatomy and operative procedures. The types of complications and their accompanying clinical manifestations are closely related to the choice of diagnosis and treatment strategies and clinical outcomes. To discuss the causes, prevention, and treatment measures of various common complications of SSRO, domestic orthognathic surgery experts prepared this consensus to increase the awareness of SSRO complications, thereby ensuring safe surgical procedure and good results.

Key words: sagittal split ramus osteotomy, orthognathic surgery, complications, experts’ consensus, dentofacial deformity

中图分类号:

R 782.05

祝颂松, 王旭东, 杨学文, 王晓霞, 田磊, 刘曙光, 郑广森, 唐正龙, 吴国民, 李志勇, 白晓峰, 黄旋平, 黄立, 习伟宏, 朱耀旻. 下颌支矢状骨劈开术并发症防治的专家共识[J]. 华西口腔医学杂志, 2022, 40(3): 247-254.

Zhu Songsong, Wang Xudong, Yang Xuewen, Wang Xiaoxia, Tian Lei, Liu Shuguang, Zheng Guangsen, Tang Zhenglong, Wu Guomin, Li Zhiyong, Bai Xiaofeng, Huang Xuanping, Huang Li, Xi Weihong, Zhu Yaomin. Experts’ consensus on precaution and treatment for complications of sagittal split ramus osteotomy[J]. West China Journal of Stomatology, 2022, 40(3): 247-254.

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下颌支矢状骨劈开术并发症防治的专家共识

Experts’ consensus on precaution and treatment for complications of sagittal split ramus osteotomy

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