下颌角肥大矫正术式研究与分析.docVIP

下颌角肥大矫正术式的研究与分析 　　[摘要]目的：探讨经口内入路不同术式矫正下颌角肥大的适应证及疗效分析。方法：应用下颌角全层截骨术矫正15例后下突出型下颌角肥大，下颌角外板矢状劈开截骨术矫正15例外翻型下颌角肥大，下颌角全层截骨术与下颌角外板矢状劈开截骨术联合应用矫正15例复合型下颌角肥大，通过X线头影测量评价疗效。结果：下颌角全层截骨组：术后下颌角角度为（124.87±2.54）°，下颌平面角为（31.32±2.03）°，升支平面角为（92.31±0.82）°，面下部宽度为（10.14±0.37）cm，与术前比较差异均有统计学意义（P0.05）。下颌角全层截骨术与下颌角外板矢状劈开截骨术联合应用组：术后下颌角角度为（126.34±3.01）°，下颌平面角为（31.53±1.50）°，升支平面角为（92.09±0.79）°，面下部宽度为（9.97±0.40）cm，与术前比较差异均有统计学意义（P0.05）。所有患者容貌较术前均有明显改观，无下齿槽神经损伤、下颌骨骨折等并发症发生。结论：针对不同类型的下颌角肥大，需采用其相对应的术式，方可有效矫正下颌角肥大畸形。 　　[关键词]下颌角肥大；口内入路；下颌角全层截骨术；下颌角外板矢状劈开截骨术 　　[中图分类号]R782 [文献标志码]A [文章编号]1008-6455（2015）04-0024-05 　　Research and analysis of different surgical methods of prominent mandibular angle 　　YANG Min-feng，ZHANG Bao-lin 　　（Shanxi Medical University，Taiyuan 030000，Shanxi，China） 　　Abstract： Objective To discuss the indication and analyze the effects of different reduction mandibuloplasty methods correcting broad mandibular by intra -oral approach. Methods 15 cases of prominent prominent mandibular angles were treated with mandibular angle full-thickness osteotomy.15 cases of ectropion prominent mandibular angles were treated with mandibular angle sagittal split osteotomy.15 cases of compound prominent mandibular angles were treated with mandibular angle full-thickness osteotomy and sagittal split osteotomy.The results were evaluated with cephalometric analysis of X-ray flims. Results The postoperative mandibular angle， mandibular plane angle， ramus planesella nasion angle， and the width of lower face of full-thickness osteotomy group were （124.87±2.54）°，（31.32±2.03）°，（92.31±0.82）°，and（10.14±0.37）cm，respectively.The difference between these preoperative and postoperative values had statistic significance（P0.05）.Full-thickness osteotomy and sagittal split osteotomy group，the postoperative mandibular angle， mandibular plane angle， ramus planesella nasion angle， and the width of lower face were （126.34±3.01）°，（31.53±1.50）°，（92.09±0.79）°，and（9.97±0.40）cm，respectively.The difference between these