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报道21例前牙牙槽性前突、深覆、反引起畸形的手术矫治。根据模形外科,拟定截骨位置与骨段移动的方向、距离及拔除的牙齿供手术时参考。手术方法简单易行,由于后牙关系已恒走,作前牙根尖下截骨不强调作头颅测量。21例除3例因手术操作不慎,损伤腭侧粘膜,其余未发生其它并发症。术后部分病例经同位素扫描,截骨部位放射性浓聚趋于正常,血供完全建立。全部病例经随访,未见畸形复发,外形满意。
Reported 21 cases of anterior teeth alveolar protrusion, deep over, anti-induced deformity surgery correction. According to the mold surgery, the location of the osteotomy and the direction of bone segment movement, distance and extracted teeth for surgery reference. The surgical method is simple and easy, due to the relationship between the posterior teeth has been constant, under the apical osteotomy is not emphasized for head measurement. 21 cases except 3 cases due to accidental operation, injury palatal mucosa, the rest did not occur other complications. Some cases after surgery by isotope scanning, radioactivity concentration at the osteotomy site tends to be normal, completely established blood supply. All cases were followed up, no recurrence of deformity, shape satisfactory.