华西口腔医学杂志 ›› 2021, Vol. 39 ›› Issue (3): 255-259.doi: 10.7518/hxkq.2021.03.002

• 专家论坛 • 上一篇    

颌面骨骼综合矫治——正颌外科与面部轮廓整形的联合应用与思考

祝颂松(), 李运峰   

  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正颌与关节外科,成都 610041
  • 收稿日期:2020-11-10 修回日期:2021-03-15 出版日期:2021-06-01 发布日期:2021-05-26
  • 通讯作者: 祝颂松 E-mail:zss_1977@163.com
  • 作者简介:祝颂松,教授,博士研究生导师,四川大学华西口腔医院正颌与关节外科主任。四川省卫生健康委员会学术技术带头人,教育部新世纪优秀人才,国际牙医师学院院士。兼任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委会副主任委员,四川省口腔医学会正颌与颞下颌关节专委会首任主任委员。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。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56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。
  • 基金资助:
    四川省科技厅应用基础项目(2019YJ0103);四川大学研究生教改项目(YJSJG057)

Comprehensive correction of maxillofacial bone deformity—consideration and combined application of orthognathic surgery and facial contouring surgery

Zhu Songsong(), Li Yunfeng   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthognathic and Joint Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-11-10 Revised:2021-03-15 Online:2021-06-01 Published:2021-05-26
  • Contact: Zhu Songsong E-mail:zss_1977@163.com
  • Supported by:
    Sichuan Provincial Department of Science and Technology Application Fundamental Project(2019YJ0103);Sichuan University Graduate Education Reform Project(YJSJG057)

摘要:

颌面骨骼是面部外形的基础。临床上,颌面骨骼畸形主要分为同时涉及功能与外形的牙颌面畸形和仅涉及外形的面部轮廓畸形。正颌手术是矫治牙颌面畸形的主要手段,它通过改变颌骨的三维空间位置改变外形,同时改善咬合关系。面部轮廓整形手术主要采用“削骨”的方式,通过截除部分骨组织改变颌骨的“量”实现面部外形改善,一般不涉及功能。在临床上,联合运用正颌手术与面部轮廓整形手术的情况日趋常见。这也要求口腔颌面外科医生具有颌面骨骼矫治的整体思维,将牙颌面畸形与面部轮廓畸形进行综合分析,才能达到最理想的矫治效果。笔者所在团队一直从事牙颌面畸形与面部轮廓畸形的临床工作,在颌面骨骼综合矫治方面积累了较为丰富的临床经验。本文对颌面骨骼综合矫治的适应证、矫治目标、治疗模式、常规治疗方法以及手术操作中的难点问题进行评述。

关键词: 面部轮廓畸形, 牙颌面畸形, 正颌外科, 颌面骨骼, 颌骨整形

Abstract:

The maxillofacial skeleton is the basis of the contour of the face. Orthognathic surgery and facial contouring surgery change jaw tissue and affect facial appearance in different manners. Orthognathic surgery is the main method to correct dental and maxillofacial deformities. It changes the shape of the jaw and improves the occlusal relationship by changing the three-dimensional position of the jaw. Facial contouring surgery mainly adopts the method of “bone reduction”, which changes the “amount”of the jawbone by cutting a part of the bone tissue to improve the facial appearance, generally without changing oral function. The combined use of orthognathic surgery and facial contouring surgery is becoming increasingly common in clinical practice. This also requires oral and maxillofacial surgeons to have a holistic consideration of the comprehensive correction of maxillofacial bone deformity, and to perform comprehensive analysis of jaw deformities and jaw plastic surgery to achieve the most ideal results. The author's team has been engaged in the clinical work of orthognathic surgery and facial contouring surgery and accumulated rich clinical experience in the comprehensive correction of maxillofacial bone deformity. In this article, the indications, treatment goals, treatment modes, treatment methods, and key points in the surgical operations of comprehensive maxillofacial bone surgery were summarized.

Key words: facial contouring surgery, dentofacial deformities, orthognathic surgery, maxillofacial bone, facial osteoplasty

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