下颌优先于双颌正颌手术中运用的研究进展

doi:10.13701/j.cnki.kqyxyj.2021.06.005

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (6): 501-504.DOI: 10.13701/j.cnki.kqyxyj.2021.06.005

下颌优先于双颌正颌手术中运用的研究进展

刘瑶¹, 万启龙^1,2*

1.武汉大学口腔医学院口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室湖北武汉 430079;
2.武汉大学口腔医院正颌与唇腭裂整形外科湖北武汉 430079

收稿日期:2020-03-30 出版日期:2021-06-28 发布日期:2021-06-17
通讯作者: *万启龙,E-mail:qilong.wan@whu.edu.cn
作者简介:刘瑶(1995~ ),女,湖北咸宁人,硕士在读,研究方向:正颌外科学和口腔正畸学。
基金资助:
武汉市科技局应用基础研究计划(编号:2017060201010187);武汉大学口腔医院临床研究专项项目(编号:LYZX202002)

Research Progress on Mandible-first Sequencing in Bimaxillary Orthognathic Surgery

LIU Yao¹, WAN Qilong^1,2*

1. The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, School of Stomatology, Wuhan University, Wuhan 430079, China;
2. Department of Orthognathic & Cleft Lip and Palate Plastic Surgery, Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2020-03-30 Online:2021-06-28 Published:2021-06-17

摘要/Abstract

摘要： 目前有两种常用的双颌正颌手术顺序:上颌优先和下颌优先。上颌优先即先行上颌骨截骨、定位和固定,再行下颌截骨,通过已固定的上颌定位下颌的位置;下颌优先则反之,以下颌骨的截骨、定位和固定为先,再行上颌手术。有研究发现下颌优先相比上颌优先具有很多优点,但上颌优先和下颌优先的运用范围和术后效果等方面仍存较多争议。本文就下颌优先的运用及其研究进展进行综述,为临床上双颌正颌手术顺序的选择提供参考依据。

关键词: 双颌正颌手术, 牙颌面畸形, 手术顺序, 下颌优先, 上颌优先

Abstract: Two common sequences of bimaxillary orthognathic surgery are maxillary-first and mandible-first. During maxillary-first sequence, maxilla is repositioned and stabilized firstly, then using the stable maxilla to reposition the mandible. On the contrary, during mandible-first sequence, the mandible is firstly repositioned and stabilized, followed by repositioning the maxilla. Although there were significant advantages to support the using of mandible-first sequence, controversial still remains. The goal of this article is to review the application and research progress of mandible-first to assist surgeons in determining the sequence of bimaxillary orthognathic surgery.

Key words: bimaxillary orthognathic surgery, dental maxillofacial deformities, operation sequence, mandibular-first, maxillary-first

刘瑶, 万启龙. 下颌优先于双颌正颌手术中运用的研究进展[J]. 口腔医学研究, 2021, 37(6): 501-504.

LIU Yao, WAN Qilong. Research Progress on Mandible-first Sequencing in Bimaxillary Orthognathic Surgery[J]. Journal of Oral Science Research, 2021, 37(6): 501-504.

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下颌优先于双颌正颌手术中运用的研究进展

Research Progress on Mandible-first Sequencing in Bimaxillary Orthognathic Surgery

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