顎変形症の診断と手術手技 -その基本と勘どころ-

  • 原田 清
    東京医科歯科大学大学院医歯学総合研究科医歯学系専攻顎顔面頸部機能再建学講座顎顔面外科学分野

書誌事項

タイトル別名
  • Diagnosis and surgical technique for dentofacial deformity patients: their bases and knacks
  • 2012年度口腔四学会合同研修会 (社)日本口腔外科学会第37・38回教育研修会「口腔外科診療における診断と手術手技のコツ」 顎変形症の診断と手術手技 : その基本と勘どころ
  • 2012ネンド コウコウ ヨン ガッカイ ゴウドウ ケンシュウカイ (シャ)ニホン コウコウ ゲカ ガッカイ ダイ37 ・ 38カイ キョウイク ケンシュウカイ 「 コウコウ ゲカ シンリョウ ニ オケル シンダン ト シュジュツ シュギ ノ コツ 」 ガク ヘンケイショウ ノ シンダン ト シュジュツ シュギ : ソノ キホン ト カンドコロ

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抄録

The surgical treatment of jaw deformity is popular now. And demand level of both patients and orthodontists for the surgical treatment is becoming higher. In order to respond to their demands, it is important for oral surgeons to acquire the right diagnostic method and safe and basic surgical technique for orthognathic treatment. Incorrect diagnosis leads incorrect surgical planning, and higher treatment results cannot be obtained without safe and basic technique for orthognathic surgery.<br>The basic orthognathic surgery are sagittal splitting ramus osteotomy (SSRO) of the mandible and Le Fort Ⅰ osteotomy(LF I) of the maxilla. Though these two osteotomy technique are extremely popular, oral surgeons have to operate anatomically high-risk regions during both of them. In addition, special care for patients' air-way is necessary after orthognathic surgery.<br>In this review, basic method of surgical planning for dentofacial deformity patients is described first. Then, the basic technique and knacks of two popular osteotomies (SSRO and LF I) are described. The pitfalls and various risks during the two osteotomies are also referred to simultaneously.

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