| Moebius综合征患者牙颌面特征及正颌正畸治疗远期疗效评价 |
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| 引用本文： | 蔡鸣,沈国芳,房兵,朱敏,毛丽霞,聂萍.Moebius综合征患者牙颌面特征及正颌正畸治疗远期疗效评价[J].中国口腔颌面外科杂志,2012,10(1):29-37. |
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| 作者姓名： | 蔡鸣 沈国芳 房兵 朱敏 毛丽霞 聂萍 |
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| 作者单位： | 上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面外科,上海市口腔医学重点实验室,上海200011 |
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| 基金项目： | 国家自然科学基金(81100793);上海市申康基金(适宜技术)(SHDC12010205);上海高校创新团队发展计划~~ |
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| 摘 要： | 目的:评价正颌正畸联合治疗Moebius综合征患者的牙颌畸形的远期疗效。方法:Moebius综合征患者3例,经正颌正畸联合会诊制订治疗计划,按照术前正畸、正颌手术、术后正畸的联合治疗模式进行系统治疗,随访1～6a。结果:Moebius综合征患者的牙颌特征主要表现为严重的骨性开畸形。对于牙颌畸形的治疗,主要是通过正颌正畸联合治疗进行矫正,但由于升颌肌群功能障碍,开矫正的复发倾向比较明显,需要术后密切随访治疗。结论:正颌正畸联合治疗能够矫正Moebius综合征患者严重的骨性开畸形,正颌手术后的长期随访对防止开的复发具有重要意义。
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| 关 键 词： | Moebius综合征 骨性开 正颌正畸联合治疗 正颌外科 |
Clinical feature of dentofacial deformities of Moebius syndrome patients and long-term follow-up after joint orthognathic-orthodontic treatment |
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| CAI Ming
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SHEN Guo-fang
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FANG Bing
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ZHU Min
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MAO Li-xia
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NIE Ping.Clinical feature of dentofacial deformities of Moebius syndrome patients and long-term follow-up after joint orthognathic-orthodontic treatment[J].China Journal of Oral and Maxillofacial Surgery,2012,10(1):29-37. |
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| Authors: | CAI Ming SHEN Guo-fang FANG Bing ZHU Min MAO Li-xia NIE Ping |
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| Institution: | .(Department of Oral and Maxillofacial Surgery,Ninth People’s Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine,Shanghai Key Laboratory of Stomatology.Shanghai 200011,China) |
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| Abstract: | PURPOSE: To evaluate the dentofacial manifestation and long term result after orthognathic-orthodontics treatment of Moebius patient.METHODS: A joint orthodontic and orthognathic consultation was performed on 3 moebius syndrome cases.Peri-surgical orthodontic treatment combined with orthognathic surgery and long term follow up(1~6 years) was carried out.RESULTS: A severe skeletal open bite was recognized in Moebius syndrome case.Orthodontic combined with orthognathic surgery treatment result in a normal occlusal relationship.A potential post-surgical recurrence was ascribed to functional insufficiency of ascend masticatory muscle.CONCLUSION: Combined orthodontic and orthognathic treatment could correct the skeletal open bite of Moebius syndrome.Routinely postsurgical follow-up was necessary to maintain the long term result. |
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| Keywords: | Moebius syndrome Skeletal open bite Combined orthodontic and orthognathic therapy Orthognathic surgery |
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