Moebius综合征患者牙颌面特征及正颌正畸治疗远期疗效评价被引量：5

Clinical feature of dentofacial deformities of Moebius syndrome patients and long-term follow-up after joint orthognathic-orthodontic treatment

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摘要目的:评价正颌正畸联合治疗Moebius综合征患者的牙颌畸形的远期疗效。方法:Moebius综合征患者3例,经正颌正畸联合会诊制订治疗计划,按照术前正畸、正颌手术、术后正畸的联合治疗模式进行系统治疗,随访1～6a。结果:Moebius综合征患者的牙颌特征主要表现为严重的骨性开畸形。对于牙颌畸形的治疗,主要是通过正颌正畸联合治疗进行矫正,但由于升颌肌群功能障碍,开矫正的复发倾向比较明显,需要术后密切随访治疗。结论:正颌正畸联合治疗能够矫正Moebius综合征患者严重的骨性开畸形,正颌手术后的长期随访对防止开的复发具有重要意义。 PURPOSE： To evaluate the dentofacial manifestation and long term result after orthognathic-orthodontics treatment of Moebius patient.METHODS： A joint orthodontic and orthognathic consultation was performed on 3 moebius syndrome cases.Peri-surgical orthodontic treatment combined with orthognathic surgery and long term follow up（1~6 years） was carried out.RESULTS： A severe skeletal open bite was recognized in Moebius syndrome case.Orthodontic combined with orthognathic surgery treatment result in a normal occlusal relationship.A potential post-surgical recurrence was ascribed to functional insufficiency of ascend masticatory muscle.CONCLUSION： Combined orthodontic and orthognathic treatment could correct the skeletal open bite of Moebius syndrome.Routinely postsurgical follow-up was necessary to maintain the long term result.

作者蔡鸣沈国芳房兵朱敏毛丽霞聂萍

机构地区上海交通大学医学院附属第九人民医院.口腔医学院口腔颌面外科上海市口腔医学重点实验室

出处《中国口腔颌面外科杂志》 CAS 2012年第1期29-37,共9页 China Journal of Oral and Maxillofacial Surgery

基金国家自然科学基金(81100793) 上海市申康基金(适宜技术)(SHDC12010205) 上海高校创新团队发展计划~~

关键词 Moebius综合征骨性开 正颌正畸联合治疗正颌外科 Moebius syndrome Skeletal open bite Combined orthodontic and orthognathic therapy Orthognathic surgery

分类号 R783.5 [医药卫生—口腔医学] R782.2 [医药卫生—口腔医学]

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