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Unilateral intraoral vertical ramus osteotomy and sagittal split ramus osteotomy for the treatment of asymmetric mandibles

机译:单侧口内垂直支肌截骨术和矢状劈开支肌截骨术治疗不对称下颌骨

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摘要

In surgery for facial asymmetry, mandibles can be classified into two types, rotational and translational, according to the required mandibular movements for surgery. During surgery for rotational mandibular asymmetry, a bilateral sagittal split ramus osteotomy (BSSRO) may cause a large bone gap between the proximal and distal segments as well as condylar displacement, resulting in a relapse of the temporomandibular joint disorder, especially in severe cases. The intraoral vertical ramus osteotomy has an advantage, in this respect, because it causes less rotational displacement of the proximal segment on the deviated side and even displaced or rotated condylar segments may return to their original physiologic position. Unilateral intraoral vertical ramus osteotomy (UIVRO) on the short side combined with contralateral SSRO was devised as an alternative technique to resolve the spatial problems caused by conventional SSRO in cases of severe rotational asymmetry. A series of three cases were treated with the previously suggested protocol and the follow-up period was analyzed. In serial cases, UIVRO combined with contralateral SSRO may avoid mediolateral flaring of the bone segments and condylar dislocation, and result in improved condition of the temporomandibular joint. UIVRO combined with contralateral SSRO is expected to be a useful technique for the treatment of rotational mandibular asymmetry.
机译:在进行面部不对称手术时,可根据手术所需的下颌运动将下颌骨分为旋转型和平移型两种。在进行下颌旋转不对称手术时,双侧矢状劈开裂肌截骨术(BSSRO)可能会导致近端和远端之间的大骨间隙以及well突移位,从而导致颞下颌关节疾病的复发,尤其是在严重的情况下。在这方面,口腔内垂直支截骨术具有一个优点,因为它使近侧段在偏斜侧上的旋转位移较小,甚至移位或旋转的con突段也可以返回其原始生理位置。短侧单侧口内垂直支肌截骨术(UIVRO)结合对侧SSRO被设计为解决严重旋转不对称情况下由常规SSRO引起的空间问题的替代技术。使用先前建议的方案治疗了三例病例,并分析了随访期。在连续病例中,UIVRO与对侧SSRO结合可避免骨段的中外侧张开和con突脱位,并改善颞下颌关节的状况。 UIVRO与对侧SSRO结合有望成为治疗下颌旋转不对称的有用技术。

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