关键词: condylar hyperplasia dentofacial deformities oral and maxillofacial surgery orthognathic surgery plastic surgery temporomandibular joint surgery

Mesh : Humans Dentofacial Deformities / surgery pathology Hyperplasia / pathology Mandibular Condyle / diagnostic imaging surgery Orthognathic Surgical Procedures Temporomandibular Joint / surgery

来  源:   DOI:10.7518/hxkq.2023.2023059   PDF(Pubmed)

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.
摘要:
继发于髁突增生的牙面畸形是一种表现为面部不对称的疾病,错牙合,颞下颌关节功能障碍,和其他由髁状突非肿瘤性增生引起的症状。病因尚不清楚,目前,术前和术后正畸伴随正颌手术,颞下颌关节手术和颌骨轮廓术是主要的治疗方法。制定了个性化的治疗方案,考虑到髁突增生的活跃程度,颌骨畸形的严重程度,和病人的意志,为了矫正畸形,获得理想的咬合关系,并恢复良好的颞下颌关节功能。结合作者的临床经验,病因,临床和影像学特征,治疗目标,本文对髁突增生和继发性牙颌面畸形的手术方法进行了探讨。
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