华西口腔医学杂志 ›› 2023, Vol. 41 ›› Issue (4): 369-376.doi: 10.7518/hxkq.2023.2023059

• 专家论坛 •    下一篇

髁突肥大继发牙颌面畸形的诊断与治疗

罗恩()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院正颌及关节外科,成都 610041
  • 收稿日期:2023-02-23 修回日期:2023-04-27 出版日期:2023-08-01 发布日期:2023-07-21
  • 通讯作者: 罗恩 E-mail:luoen521125@sina.com
  • 作者简介:罗恩,教授,博士,E-mail:luoen521125@sina.com|罗恩,四川大学华西口腔医院教授,一级专家,博士生导师,正颌及关节外科主任。国际牙医师学院(ICD)Fellow,英国格拉斯哥皇家内外科学院(RCPSG)外科Fellow,亚洲口腔颌面外科医师协会(AAOMS)理事;教育部新世纪优秀人才,四川省海外高层次留学人才,中华口腔医学会口腔颌面外科专业委员会常委,中华口腔医学会创伤正颌外科专业委员会常委,四川省口腔颌面外科专业委员会副主任委员,四川省正颌与关节专业委员会副主任委员,四川省卫生健康委员会学术和技术带头人。临床工作主要从事正颌外科、颌骨整形、颞下颌关节外科、智能与数字化外科。主持国家自然科学基金、教育部新世纪优秀人才计划项目、四川省重点研发项目等国家及省部级研究项目10余项。主编专著《牙和颌面畸形就医指南》《正颌及关节外科诊疗与操作常规》《数字化正颌外科》。获得教育部科技进步奖一等奖1项,二等奖1项,四川省科技进步一等奖1项,中华口腔医学会科技奖一等奖1项。获得牙和颌面畸形矫治相关国家专利10余项。
  • 基金资助:
    四川省重点研发项目(2022YFS0038);四川大学华西口腔医院探索与研发项目(LCYJ2019-20)

Treatment of dentofacial deformities secondary to condylar hyperplasia

Luo En.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthognathic and Temporomandibular Joint Surgery, West China Hospital of Stomatology, Chengdu 610041, China
  • Received:2023-02-23 Revised:2023-04-27 Online:2023-08-01 Published:2023-07-21
  • Contact: Luo En. E-mail:luoen521125@sina.com
  • Supported by:
    The Key Research and Development Program of Science and Technology Department of Sichuan Province(2022YFS0038);Research and Develop Program of West China Hospital of Stomatology, Sichuan University(LCYJ2019-20);Correspondence: Luo En, E-mail: luoen521125@sina.com

摘要:

髁突肥大继发牙颌面畸形,是由于髁突非肿瘤性过度增生而导致面部不对称畸形、咬合紊乱、颞下颌关节功能障碍等症状的一种疾病。该病病因仍不明确,目前以正颌外科、关节外科、颌骨轮廓整形术以及术前、术后正畸治疗作为主要治疗方式,根据髁突增生的活跃程度、颌骨畸形的严重程度以及患者意愿,制定个性化治疗方案以期矫治颌骨畸形、改善咬合关系、重建良好的关节功能。本文将从髁突肥大继发牙颌面畸形的病因、临床表现、影像学特点、治疗目标及手术方式选择结合笔者经验对该病的诊治作一系统论述。

关键词: 髁突肥大, 牙颌面畸形, 正颌外科, 颞下颌关节外科, 整形外科, 口腔颌面外科

Abstract:

Dentofacial deformities secondary to condylar hyperplasiais a kind of disease presenting facial asymmetry, malocclusion, temporomandibular joint dysfunction, and other symptoms caused by non-neoplastic hyperplasia of the condyle. The etiology is still unknown, and currently, pre- and post-operative orthodontics accompanied by orthognathic surgery, temporomandibular joint surgery and jawbone contouring surgery are the main treatment methods. A personalized treatment plan was developed, considering the active degree of condyle hyperplasia, the severity of the jaw deformity, and the patient’s will, to correct deformity, obtain ideal occlusal relationship, and regain good temporomandibular joint function. Combined with the author’s clinical experience, the etiology, clinical and imageological features, treatment aims, and surgical methods of condylar hyperplasia and secondary dentofacial deformities were discussed in this paper.

Key words: condylar hyperplasia, dentofacial deformities, orthognathic surgery, temporomandibular joint surgery, plastic surgery, oral and maxillofacial surgery

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