• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Maxillofacial Plastic and Reconstructive Surgery >Current status of surgery first approach (part II): precautions and complications
【24h】

Current status of surgery first approach (part II): precautions and complications

机译：手术优先方法的现状（第二部分）：注意事项和并发症

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract The choice of surgical technique in orthognathic surgery is based primarily on the surgical treatment objectives (STO), which is a fundamental component of the orthognathic treatment process. In the conventional orthodontics-first approach, presurgical planning can be performed twice, during the preorthodontic (initial STO) and presurgical phases (final STO). Recently, a surgery-first orthognathic approach (SFA) without presurgical orthodontic treatment has been introduced and combined initial and final STO at the same time. In contrast to the conventional surgical-orthodontic treatment protocol that includes preoperative orthodontics for dental decompensations to maximize stable postoperative occlusion, the SFA potentially shortens the treatment period and minimizes esthetic concerns during the decompensation period because skeletal problems are corrected from the beginning. The indications for the SFA have been proposed in the literature, but no consensus exists. Moreover, because dental occlusion of the pre-orthodontic arches cannot be used as a guide for establishing the surgical treatment plan, there are fundamental limitations in accurate prediction of postsurgical results in the SFA. Recently, the concepts of postsurgical orthodontic treatment are continuously changing and evolving to overcome this inherent limitation of the SFA. The elimination of presurgical orthodontics can change the paradigm of orthognathic surgery but still requires cautious case selection and thorough discussion and collaboration between orthodontists and surgeons regarding the goals and postoperative management of the orthognathic procedure.
机译：摘要正颌外科手术技术的选择主要基于外科治疗目标（STO），这是正颌外科治疗过程的基本组成部分。在常规的“正畸优先”方法中，在正畸前（初始STO）和术前阶段（最终STO）期间，可以进行两次手术前计划。最近，已经引入了一种无需手术前正畸治疗的手术为主的正畸治疗方法（SFA），并同时结合了初始和最终STO。与传统的外科正畸治疗方案（包括术前牙齿矫正的正畸治疗，以最大程度地稳定术后闭塞）相比，SFA可能会缩短治疗周期，并在失代偿期内将美学问题降至最低，因为从一开始就纠正了骨骼问题。关于SFA的适应症已在文献中提出，但尚无共识。此外，由于不能将正畸前牙弓的牙齿咬合作为建立手术治疗计划的指南，因此在SFA中准确预测术后结果存在根本限制。最近，术后正畸治疗的概念不断变化和发展，以克服SFA的这一固有局限性。消除术前正畸可以改变正颌外科的范例，但仍需谨慎选择病例，并在正畸医生和外科医生之间就正畸外科手术的目标和术后管理进行全面讨论和合作。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号