治疗下缺陷的新骨切除技术:使用巴拉卡特修饰的简短临床研究
Khaled Ibrahim Barakat1, Mostafa Mohamed Fathy, Hamed Ahmed Gad
1Department of Maxillofacial Surgery, Faculty of Dentistry, Minia University.
The Journal of craniofacial surgery
|February 4, 2026
概括
对下缺陷的巴拉卡特修改纠正了同时推进和旋转的下对齐. 这种微创手术改善了面部结构和功能,不需要骨头移植,提供了可预测的结果.
科学领域:
- 口腔和牙面部外科手术
- 整形手术 整形手术 整形手术
- 面外科手术 面外科手术
背景情况:
- 缺陷需要精确控制进步和旋转,以获得最佳的功能和美学效果.
- 传统方法可能涉及移植,并带来更高的发病率.
- 需要可预测的,最少的侵入性技术.
研究的目的:
- 为了评估巴拉卡特修改的有效性,进行了口内逆转L骨切除术,用于管理下缺陷.
- 评估其同时实现下前进和控制逆时针旋转的能力.
- 为了确定该技术对面部和,遮和患者发病率的影响.
主要方法:
- 采用了巴拉卡特修饰,这是一种逆转L骨折术的口内适应.
- 同时进行下前进和逆时针旋转.
- 进行了脑力测量分析 (SNB,FMA,角) 和术后评估.
主要成果:
- 观察到一致的前下的重新定位 (平均SNB增加≈ +1度).
- 在FMA (≈-3到-5度) 和角 (≈-2到-4度) 中显著减少表明有效的旋转控制和垂直缩短.
- 报告没有稳定的闭塞,精确的骨对齐,增强的下面面部比例,没有并发症.
结论:
- 巴拉卡特修改为下缺陷提供了可预测和最小侵入性的解决方案.
- 它有效地将精确的进步与受控的旋转相结合,改善美观和功能结果.
- 这种技术消除了移植的需要,降低了患者的发病率.
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