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下颌骨髁突缺损及发育不足是临床常见疾病,常造成患者患侧下颌支高度降低、咬合紊乱及面部畸形,严重影响患者身心健康。牵引成骨由于具有无免疫排斥、无供区损伤、精确可控、可改善软组织形态的特点,是一种较为理想的治疗方法。本文旨在结合作者的临床经验及国内外文献,对下颌支牵引成骨髁突重建进行评述,主要就治疗时机、术前设计及模拟、术中术后控制及注意要点等进行讨论。
Mandibular condylar defect and hypoplasia is a common clinical disease, often resulting in patients with ipsilateral mandibular height reduction, occlusion disorders and facial deformities, seriously affecting the patient’s physical and mental health. Traction osteogenesis as a non-immune rejection, no donor area injury, accurately controlled, can improve the characteristics of soft tissue morphology, is a more ideal method of treatment. The purpose of this article is to review the author’s clinical experience and literature both at home and abroad to review mandibular mandibular distraction osteogenesis in condylar reconstruction. The main topics are the timing of treatment, preoperative design and simulation, postoperative control and attention points.