[1] 沈末伦 胡沈辰 综述,郝新河 审校. 手术优先正颌模式治疗牙颌面畸形的研究进展[J].中国美容医学,2020,(7):172-175.
　 SHEN Mo-lun,HU Shen-chen,HAO Xin-he. Research Progress of Surgery-fi rst Orthognathic Approach for Dentomaxillofacial Deformities[J].Medical Aesthetics and Beauty,2020,(7):172-175.
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 手术优先正颌模式治疗牙颌面畸形的研究进展
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年7期
页码:
172-175
栏目:
出版日期:
2020-07-10

文章信息/Info

Title:
 Research Progress of Surgery-fi rst Orthognathic Approach for Dentomaxillofacial Deformities
文章编号:
1008-6455（2020）07-0172-04
作者:
 沈末伦 胡沈辰 综述; 郝新河 审校
Author(s):
 SHEN Mo-lun;  HU Shen-chen;  HAO Xin-he
关键词:
 [关键词]手术优先; 正颌外科; 牙颌面畸形; 正畸治疗; 适应证; 稳定性
Keywords:
 Key words:surgery-fi rst approach; orthognathic surgery;  dentomaxillofacial deformities;  orthodontics;  indications;  stability
分类号:
R783.5
文献标志码:
A
摘要:
[摘要]牙颌面畸形传统的正颌正畸联合治疗流程是正畸优先，即术前正畸去代偿，正颌手术截骨，术后正畸精细调整。这
种传统治疗模式的疗程较长，同时术前正畸去代偿会使患者在短期内的面部畸形加重。近年来，手术优先方案（Surgeryfirst
approach,SFA）被越来越多地应用于牙颌面畸形的治疗。与传统的正畸优先方案相比，SFA没有进行以牙齿去代偿为
目的的术前正畸治疗，从而缩短了治疗周期，并避免了因术前正畸去代偿所导致的短期面型恶化问题。本文对手术优先正颌
模式在牙颌面畸形治疗中的有关热点问题进行综述，以期为临床医生在选择该模式治疗患者时提供一定的参考价值。

Abstract:
Abstract:In surgical-orthodontic correction of dentofacial deformities, the conventional three-stage treatment protocol
includes presurgical orthodontics for dental decompensations,orthognathic procedure and postsurgical orthodontic treatment.
This conventional orthodontics-first approach has an unfavorable long treatment period for preoperative orthodontic
decompensations.And at the same time, the patient’s facial deformity will become more evident during the decompensation
period. In recent years, a surgery-first approach (SFA) has been increasingly used in the treatment of dentomaxillofacial
deformities.In contrast to the conventional orthodontics-first approach,the SFA without presurgical orthodontics for dental
decompensations potentially shortens the total treatment time and avoids short-term facial deterioration caused by dental
decompensations because skeletal problems are corrected from the beginning.In this article,some related hot issues of SFA in
the treatment of dentomaxillofacial deformities were reviewed, aimed to provide clinicians with a certain reference value when
choosing the SFA to treat patients.

相似文献/References:

[1]蒙 歌 综述,杨 斌 审校. 手术优先模式在治疗下颌前突畸形中的应用[J].中国美容医学,2018,(04):144.
　MENG Ge,YANG Bin. Application of Surgery-First Approach in the Treatment of Mandibular Protrusion[J].Medical Aesthetics and Beauty,2018,(7):144.
[2]赵 越,康 娜,阮氏秋水. 成人正颌手术前后EPQ心理特征变化研究[J].中国美容医学,2019,(02):144.
　ZHAO Yue,KANG Na,RUAN Qiu-shui. Changes of EPQ Psychological Characteristics in Adults before and after Orthognathic Surgery[J].Medical Aesthetics and Beauty,2019,(7):144.
[3]徐 佳,刘剑锋,归 来,等. 数字化技术在下颌骨骨牵引后所致牙颌畸形行正颌术前设计中的应用[J].中国美容医学,2019,(10):89.
　XU Jia,LIU Jian-feng,GUI Lai,et al. Three-dimensional Pre-orthognathic Surgery Planning in Dentofacial Deformitiesafter Linear Distraction Osteogenesis[J].Medical Aesthetics and Beauty,2019,(7):89.

更新日期/Last Update: 2020-07-29