双颌手术治疗单侧髁突增生所致面部不对称1例,术前模拟及术中导航

Yuzo Abe, Hitoshi Sato, Takanobu Inada, Motohiro Tanaka, Masahiro Takahashi, Maiko Suzuki, K. Maki, T. Shirota
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摘要

本文报告1例单侧髁突增生。结果如下:患者的症状表现在青春期早期,被诊断为隐源性和真性髁突增生。本病例表现为面部不对称伴咬合平面倾斜。通过高位髁突切除和保留颞下颌关节盘获得功能性下颌运动。此外,二次选择双颌手术,因为严重的面部不对称,咬合平面倾斜,导致良好的面部形态和咬合。
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A Case of Facial Asymmetry Caused by Unilateral Condylar Hyperplasia Treated by Bimaxillary Surgery with Preoperative Simulation and Intraoperative Navigation after Condylectomy
A case of unilateral condylar hyperplasia is reported. The results were as follows. The patient, whose symptoms were manifested in early adolescence, was diagnosed as having cryptogenic and genuine condylar hyperplasia. This case showed facial asymmetry accompanied by a tilt of the occlusal plane. Functional mandibular movement was obtained by a high condylarectomy and preserving the disk of the temporomandibular joint. In addition, two-jaw surgery was selected secondarily, because of severe facial asymmetry with a tilt of the occlusal plane, and it resulted in favorable facial morphology and occlusion.
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