[1]赵红维,余 震,任 盼,等. 下颌偏突颌畸形患者双侧下颌骨升支矢状劈开术前后咀嚼肌功能变化探究[J].中国美容医学,2020,(4):71-74.
　ZHAO Hong-wei,YU Zhen,REN Pan,et al. Exploration on Changes of Masseter Function in Patients with AsymmetricMandibular Prognathism Before and After Bilateral Sagittal Split Ramus Osteotomy[J].Medical Aesthetics and Beauty,2020,(4):71-74.
点击复制

 下颌偏突颌畸形患者双侧下颌骨升支矢状劈开术前后咀嚼肌功能变化探究
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年4期
页码:
71-74
栏目:
出版日期:
2020-04-28

文章信息/Info

Title:
 Exploration on Changes of Masseter Function in Patients with Asymmetric
Mandibular Prognathism Before and After Bilateral Sagittal Split Ramus Osteotomy
文章编号:
1008-6455（2020）04-0071-04
作者:
 赵红维; 余 震; 任 盼; 骆 婧; 康文雯
Author(s):
 ZHAO Hong-wei; YU Zhen; REN Pan; LUO Jing; KANG Wen-wen
关键词:
 ; [关键词]下颌偏突颌畸形; 双侧下颌骨升支矢状劈开术; 正颌; 咀嚼肌功能; 肌电图
Keywords:
 ; Key words: asymmetric mandibular prognathism;  bilateral sagittal split ramus osteotomy;  orthognathic surgery;  masseterfunction;  electromyogram
分类号:
R782.2
文献标志码:
A
摘要:
[摘要]目的：探究下颌偏突颌畸形患者双侧下颌骨升支矢状劈开术（BSSRO）前后咀嚼肌功能变化。方法：选取2016年6
月-2018年6月笔者医院收治的31例下颌偏突颌畸形患者为观察组，另选取30例年龄相仿的正常志愿者为对照组。测定两组
自由咀嚼状态下的半分钟咀嚼效能、吞咽反射前咀嚼效能。采用OXFORD双通道肌电诱发仪采集两组紧咬位、大张口运动的
MML、MMR、TAL、TAR肌电值；计算相应部位的咀嚼肌活动量指数（AcI）。结果：术前，观察组患者的半分钟及吞咽反射前
咀嚼效能，紧咬位、大张口运动时的MML、MMR、TAL、TAR及AcI指标均低于对照组，差异有统计学意义（P ＜0.05）；术后3
个月，观察组患者的咀嚼效能指标及各功能运动中的MML、MMR、TAL、TAR肌电值均明显小于对照组及术前（P ＜0.05），各
功能运动中AcI指标明显大于术前（P ＜0.05）；术后1年，观察组患者的咀嚼效能指标及各功能运动中的MML、MMR、TAL、
TAR肌电值均明显高于术后3个月（P ＜0.05），但部分指标仍与对照组无差异（P ＞0.05）。结论：下颌偏突颌畸形患者术前
的咀嚼肌功能弱于健康人群，行BSSRO后咀嚼肌功能得到了一定程度的改善。

Abstract:
Abstract:Objective To explore changes of masseter function in patients with asymmetric mandibular prognathism before and
after Bilateral Sagittal Split Ramus Osteotomy (BSSRO). Methods 31 patients with asymmetric mandibular prognathism who
were admitted to the hospital from June 2016 to June 2018 were enrolled as observation group. Another 30 normal volunteers
with similar age were enrolled as control group. The half-minute mastication efficiency in free-mastication status, and
mastication effi ciency before swallowing refl ex in both groups were measured. MXL, MMR, TAL and TAR electromyogram
(EMG) values of biting position and large mouth movement in both groups were collected by OXFORD dual channel EMG
evocative instrument. The masseter activity indexes (AcI) of corresponding sites were calculated. Results Before surgery, halfminute
mastication effi ciency, mastication effi ciency before swallowing refl ex, MXL, MMR, TAL and TAR of biting position
and large mouth movement, and AcI indexes in observation group were lower than those in control group (P ＜0.05). At 3
months after surgery, mastication effi ciency indexes, MXL, MMR, TAL and TAR EMG values of each functional exercise
in observation group were signifi cantly lower than those in control group and those before surgery (P ＜0.05), and all
AcI indexes were signifi cantly higher than those before surgery (P ＜0.05). At 1 year after surgery, mastication effi ciency
indexes, MXL, MMR, TAL and TAR EMG values of each functional exercise in observation group were signifi cantly higher
than those at 3 months after surgery (P ＜0.05). However, there were still differences in some indexes compared with those in
control group (P ＞0.05). Conclusion The preoperative masseter function in patients with asymmetric mandibular prognathism
is weaker than that of healthy people. The masseter function is improved after BSSRO to some extent.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(4):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(4):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(4):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(4):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(4):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(4):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(4):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(4):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(4):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(4):27.

更新日期/Last Update: 2020-04-28