国际口腔医学杂志

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

RichHTML

11

PDF (PC)

1300

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
[1] Crawford JG, Stoelinga PJ, Blijdorp PA, et al. Sta-bility after reoperation for progressive condylar re-sorption after orthognathic surgery: report of seven cases[J]. J Oral Maxillofac Surg, 1994, 52(5):460- 466.
[2] Rabey GP. Bilateral mandibular condylysis—a mor-phanalytic diagnosis[J]. Br J Oral Surg, 1977, 15(2): 121-134.
[3] Wolford LM, Gonçalves JR. Condylar resorption of the temporomandibular joint: how do we treat it[J]. Oral Maxillofac Surg Clin North Am, 2015, 27(1): 47-67.
[4] Hoppenreijs TJ, Stoelinga PJ, Grace KL, et al. Long-term evaluation of patients with progressive condylar resorption following orthognathic surgery[J]. Int J Oral Maxillofac Surg, 1999, 28(6):411-418.
[5] Arnett GW, Milam SB, Gottesman L. Progressive mandibular retrusion—idiopathic condylar resorp-tion. PartⅠ[J]. Am J Orthod Dentofacial Orthop, 1996, 110(1):8-15.
[6] Wolford LM, Cardenas L. Idiopathic condylar re-sorption: diagnosis, treatment protocol, and out-comes[J]. Am J Orthod Dentofacial Orthop, 1999, 116(6):667-677.
[7] Schellhas KP, Wilkes CH, Fritts HM, et al. MR of osteochondritis dissecans and avascular necrosis of the mandibular condyle[J]. AJR Am J Roentgenol, 1989, 152(3):551-560.
[8] Chuong R, Piper MA. Avascular necrosis of the mandibular condyle-pathogenesis and concepts of management[J]. Oral Surg Oral Med Oral Pathol, 1993, 75(4):428-432.
[9] Papadaki ME, Tayebaty F, Kaban LB, et al. Condy-lar resorption[J]. Oral Maxillofac Surg Clin North Am, 2007, 19(2):223-234.
[10] Nale JC. Orthognathic surgery and the temporo-mandibular joint patient[J]. Oral Maxillofac Surg Clin North Am, 2014, 26(4):551-564.
[11] Joss CU, Vassalli IM. Stability after bilateral sagittal split osteotomy advancement surgery with rigid in-ternal fixation: a systematic review[J]. J Oral Maxil-lofac Surg, 2009, 67(2):301-313.
[12] Scheerlinck JP, Stoelinga PJ, Blijdorp PA, et al. Sagittal split advancement osteotomies stabilized with miniplates. A 2-5-year follow-up[J]. Int J Oral Maxillofac Surg, 1994, 23(3):127-131.
[13] Hoppenreijs TJ, Freihofer HP, Stoelinga PJ, et al. Condylar remodelling and resorption after Le FortⅠand bimaxillary osteotomies in patients with anterior open bite. A clinical and radiological study[J]. Int J Oral Maxillofac Surg, 1998, 27(2):81-91.
[14] Sansare K, Raghav M, Mallya SM, et al. Manage-ment-related outcomes and radiographic findings of idiopathic condylar resorption: a systematic review [J]. Int J Oral Maxillofac Surg, 2015, 44(2):209-216.
[15] Gonçalves JR, Cassano DS, Wolford LM, et al. Post-surgical stability of counterclockwise maxillomandi- bular advancement surgery: affect of articular disc repositioning[J]. J Oral Maxillofac Surg, 2008, 66 (4):724-738.
[16] Schendel SA, Tulasne JF, Linck DW 3rd. Idiopathic condylar resorption and micrognathia: the case for distraction osteogenesis[J]. J Oral Maxillofac Surg, 2007, 65(8):1610-1616.
[17] Nørholt SE, Pedersen TK, Herlin T. Functional changes following distraction osteogenesis treatment of asymmetric mandibular growth deviation in unila-teral juvenile idiopathic arthritis: a prospective study with long-term follow-up[J]. Int J Oral Maxillofac Surg, 2013, 42(3):329-336.
[18] Zhu S, Hu J, Li J, et al. Reconstruction of mandibular condyle by transport distraction osteogenesis: Ex-perimental study in rhesus monkey[J]. J Oral Maxil-lofac Surg, 2006, 64(10):1487-1492.
[1] 刘世一, 陈中, 张素欣. 程序性死亡受体/配体免疫治疗策略在人乳头瘤病毒阳性头颈部鳞状细胞癌中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 21-27.
[2] 和子慕, 李风兰. 数字化口腔定位支架在头颈部肿瘤放射治疗中的应用现状[J]. 国际口腔医学杂志, 2024, 51(1): 28-35.
[3] 傅豫, 何薇, 黄兰. 铁死亡在口腔疾病中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 36-44.
[4] 韩冲,何东宁,余飞燕,吴东潮. 口腔种植术后疼痛机制及治疗的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 99-106.
[5] 胡佳,王秀清,卢国英,黄晓晶. 再生性牙髓治疗在成人根尖发育不全恒牙应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 686-695.
[6] 陆磊,王鑫,康泽标,谢富强. 计算机辅助导航手术在复杂颌面部骨折中的应用新进展[J]. 国际口腔医学杂志, 2023, 50(6): 696-703.
[7] 杨冬叶,朱萍,吴淑仪. 舌位的影响因素及临床意义[J]. 国际口腔医学杂志, 2023, 50(6): 723-728.
[8] 戢晓,张岚,黄定明. 牙源性与非牙源性上颌窦炎鉴别诊断及其治疗方案的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 566-572.
[9] 赵苑汐,苏勤. 根管再治疗中根管充填物去除辅助技术的应用与发展[J]. 国际口腔医学杂志, 2023, 50(5): 581-586.
[10] 宋文鹏,龚蓓文,李聃,曾剑玉,仇玲玲. 机械疗法在正畸治疗中应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 603-612.
[11] 刘婷,武秀萍. 唐氏综合征的口腔-颅颌面表征及治疗进展[J]. 国际口腔医学杂志, 2023, 50(5): 618-622.
[12] 吴思佳,舒畅,王洋,王媛,邓淑丽,王慧明. 根管内感染控制对年轻恒牙牙髓再生治疗的影响及研究进展[J]. 国际口腔医学杂志, 2023, 50(4): 388-394.
[13] 高宇天,苏勤. 酸性氧化电位水在根管治疗中的研究与应用[J]. 国际口腔医学杂志, 2023, 50(4): 401-406.
[14] 范琳,孙江. 微针在口腔医学中的应用[J]. 国际口腔医学杂志, 2023, 50(4): 472-478.
[15] 陈卓,石冰,李精韬. 唇腭裂患者外鼻生长特征的研究进展[J]. 国际口腔医学杂志, 2023, 50(3): 279-286.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 高卫民,李幸红. 发达国家牙医学院口腔种植学教学现状[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[8] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[9] 杨美祥. 前牙厚度在预测上下颌牙量协调性中的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 赵艳丽. 手术刀、电凝、CO_2和KTP激光对大鼠舌部创口的作用[J]. 国际口腔医学杂志, 1999, 26(04): .