改良上颌节段性手术入路：中线截骨及矢旁软组织切口。

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral and Maxillofacial Surgery Pub Date : 2024-12-17 DOI:10.1016/j.joms.2024.12.005

Charles H Henry, Pushkar Mehra, Larry M Wolford

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引用次数: 0

摘要

上颌节段性手术的传统外科技术包括牙间截骨与顺行骨切割相结合，同时保持腭软组织完整。除手术复杂性外，上颌节段性手术的复发率和并发症也较高。我们介绍了我们在特定的硬组织和软组织修复（中线骨截骨和腭软组织反射，精心设计的切口）方面的经验，这将使外科医生能够进行更大的扩张，并发症发生率低，复发率低。

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Modified Approach to Segmental Maxillary Surgery: Midline Osteotomy and Parasagittal Soft Tissue Incisions.

Traditional surgical techniques for segmental maxillary surgery include a combination of interdental osteotomies with paramidline bony cuts while keeping the palatal soft tissue intact. Besides surgical complexity, segmental maxillary procedures have been associated with higher incidence of relapse and complications. We present our experience with specific hard- and soft-tissue modifications (midline bony osteotomy and reflection of palatal soft tissue with carefully designed incisions) which will allow surgeons to perform larger expansions with a low incidence of complications and decreased relapse.

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来源期刊

Journal of Oral and Maxillofacial Surgery 医学-牙科与口腔外科

CiteScore

4.00

自引率

5.30%

发文量

审稿时长

41 days

期刊介绍： This monthly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments and diagnostic equipment and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association.