在同时向下重新定位和扩张中对部稳定性的评估,使用迷你板,螺丝和合体移植
Gustavo M Albuquerque1, José Vinicius Bolognesi Maciel2, Sara E Munkwitz3
1Department of Medicine, Pernambuco School of Health Sciences (FPS), Recife, PE, Brazil.
The Journal of craniofacial surgery
|January 30, 2026
概括
通过细分Le Fort I骨切除术同时扩大大和向下重新定位,提供了一个稳定的,单阶段的解决方案. 这种整形外科手术技术在24个月内没有出现并发症,并且显著改善了美学效果.
科学领域:
- 整形手术 整形手术 整形手术
- 头骨面部重建 头骨面部重建
- 牙科植入物学 牙科植入物学
背景情况:
- 部扩张和向下重新定位是不稳定的直角运动.
- 结合这些运动是必要的功能和美学,但增加复发的风险.
- 在当前的文献中,增强长期稳定的最佳策略是有限的.
研究的目的:
- 通过使用细分Le Fort I骨切除术来评估同时大扩张和向下重新定位的稳定性和安全性.
- 在24个月的随访期内评估结果.
- 为了确定迷你板稳定和全源骨移植的疗效.
主要方法:
- 对23名接受细分Le Fort I骨切除术的患者进行了回顾性研究.
- 同时的部扩张 (3-9毫米) 和下部重新定位 (2-9毫米).
- 迷你板稳定与插座骨全源骨移植;24个月的随访.
主要成果:
- 狗间宽度 (24.0至27.5毫米) 和间宽度 (33.0至38.7毫米) 显著增加 (p<0.001).
- 在24个月内没有报告的并发症 (死亡,移植暴露,衰退,根损伤,复发).
- 放射性证据表明骨稳定愈合和明显的美学改善.
结论:
- 同时的部扩张和向下重新定位可以安全可靠地作为单阶段程序进行.
- 当前的外科手术方法和跨学科协调将患者的发病率降至最低.
- 这种技术为复杂的尾形提供了稳定,有效的解决方案.
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