Horse-shoe sandwich osteotomy of the edentulous maxilla as a preprosthetic procedure

Journal of maxillofacial surgery Pub Date : 1986-01-01 Epub Date: 2005-08-04 DOI:10.1016/S0301-0503(86)80296-X
Mostafa Farmand
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引用次数: 29

Abstract

A preprosthetic procedure for treatment of severe atrophy of the maxilla is reported. By means of the horse-shoe sandwich osteotomy of the edentulous maxilla with interposition of iliac crest or ribs in combination with a modified submucous vestibuloplasty there is the possibility of increasing the vestibular and palatal height and improving the mucosal contour in one surgical session. The method, which is described in details, avoids the disadvantages of the earlier operation methods of direct osseous augmentation and the Le Fort-I-osteotomy of the edentulous maxilla.

The satisfactory results of 15 operated cases in the observation period of 3 to 15 months are reported. There is only little bone resorption. The horse-shoe sandwich osteotomy might therefore be the method of choice in cases of extreme atrophy of the maxilla.

无牙上颌骨马蹄形夹心截骨术在修复前的应用
报道了一种治疗上颌骨严重萎缩的假体前手术。采用马蹄形夹心截骨术联合改良的粘膜下前庭成形术,可以在一次手术中增加前庭和腭的高度,改善粘膜轮廓。该方法避免了早期无牙上颌骨直接植骨和Le fort - i型截骨术的缺点。在3 ~ 15个月的观察期内,报告了15例手术的满意结果。只有很少的骨吸收。因此,马蹄形夹心截骨术可能是上颌骨极度萎缩的首选方法。
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