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目的:通过下颌骨矢状劈开术(SSRO)联合正畸治疗牙颌面畸形的应用,观察并发症及其处理,以减少此类手术并发症的发生。方法:总结2004年以来应用SSRO手术配合正畸治疗的27例病例所发生的并发症,并就其原因及防治进行讨论。结果:27例中发生并发症4例,所有患者的畸形均得到改善,临床效果满意,并发症发生率为14.8%。结论:SSRO联合正畸治疗牙颌面畸形周期较长,术式虽然经过改进但常见并发症发生率仍较高,影响施术效果,因此施术者应对其全面了解并掌握,严格掌握适应症,重视正畸及手术过程中的各个环节。
OBJECTIVE: To observe the complications and the treatment of maxillofacial deformities by combining mandibular sagittal split (SSRO) and orthodontics to reduce the occurrence of such complications. Methods: To summarize the complications occurred in 27 cases of SSRO combined with orthodontic treatment since 2004, and to discuss its causes and prevention. Results: Complications occurred in 4 of 4 cases in 27 cases. All patients’ deformities were improved. The clinical effect was satisfactory and the complication rate was 14.8%. Conclusion: SSRO combined with orthodontic treatment has a long period of dental and maxillofacial deformity. Although the operation procedure has been improved, the incidence of common complications is still high, which affects the effect of operation. Therefore, the operatives should fully understand and master the indications , Emphasis on orthodontic and surgical procedures in all aspects.