国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (3): 359-362.doi: 10.7518/gjkq.2017.03.022

• 综述 • 上一篇    下一篇

渐进性髁突吸收致下颌后缩正颌外科的治疗进展

戴智1,2, 侯敏3, 张春香4   

  1. 1.天津医科大学研究生院 天津 300070;
    2.广州医科大学附属口腔医院种植科 广州 510031;
    3.南开大学附属口腔医院暨天津市口腔医院正颌外科 天津 300041;
    4.南开大学附属口腔医院暨天津市口腔医院正畸科 天津 300041
  • 收稿日期:2016-08-24 修回日期:2017-02-13 出版日期:2017-05-01 发布日期:2017-05-01
  • 通讯作者: 侯敏,主任医师,博士,Email:houmin8181@sina.com
  • 作者简介:戴智,住院医师,硕士,Email:511909069@qq.com

Progression of mandibular retrognathism caused by progressive condylar resorption in orthognathic surgery

Dai Zhi1,2, Hou Min3, Zhang Chunxiang4   

  1. 1. Graduate College of Tianjin Medical University, Tianjin 300070, China;
    2. Dept. of Implantology, Affiliated Stomatological Hospital of Guangzhou Medical University, Guangzhou 510031, China;
    3. Dept. of Orthognathic Surgery, Tianjin Stomatological Hospital, Affiliated Stomatological Hospital of Nankai University, Tianjin 300041, China;
    4. Dept. of Orthodontics, Tianjin Stomatological Hospital, Affiliated Stomatological Hospital of Nankai University, Tianjin 300041, China
  • Received:2016-08-24 Revised:2017-02-13 Online:2017-05-01 Published:2017-05-01

摘要: 病因及发病机制仍不明确的渐进性/特异性髁突吸收(PCR/ICR),是一种发生在髁突的罕见的骨吸收性疾病,临床表现为髁突形态改变、体积减小和下颌升支高度降低等,后期往往出现比较严重的下颌后缩畸形及咬合功能障碍。手术作为一种治疗牙颌面畸形的有效方案,可以达到功能性及面型美观的改善。本文就PCR致下颌后缩的正颌外科治疗作一综述。

关键词: 渐进性/特异性髁突吸收, 下颌后缩, 正颌外科, 治疗

Abstract: The etiology and pathogenesis of progressive condylar resorption/idiopathic condylar resorption(PCR/ICR) remain unclear to date. The clinical manifestations of this condition are morphological changes, reduced condylar volume, and decreased ramus height. Serious PCR/ICR can lead to mandibular retrognathism. Surgery as an effective therapy for maxillofacial deformities can improve functionality and maxillofacial aesthetics. This review focuses on the orthognathic surgery of PCR at present.

Key words: progressive/idiopathic condylar resorption, mandibular retrognathism, orthognathic surgery, treatment

中图分类号: 

  • R782.6
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