髁突高位切除联合正颌手术治疗单侧髁突肥大1例报告

doi:10.19438/j.cjoms.2025.01.018

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (1): 101-104.doi: 10.19438/j.cjoms.2025.01.018

• 病例报告 • 上一篇

髁突高位切除联合正颌手术治疗单侧髁突肥大1例报告

谭惠琳¹, 曲彬彬^1,2,*, 雷荣昌^1,2,*, 柴安²

1.湖南中医药大学口腔医（学）院,湖南长沙 410208;
2.长沙市口腔医院口腔颌面外科,湖南长沙 410006

收稿日期:2024-07-29 修回日期:2024-10-14 出版日期:2025-01-20 发布日期:2025-01-23
通讯作者: 曲彬彬,E-mail: qubinbin2017@163.com;雷荣昌,E-mail: leroch@163.com。^*共同通信作者
作者简介:谭惠琳（1999-）,女,在读硕士研究生,E-mail: tanhuilin845@163.com

A case of high condylectomy combined with orthognathic surgery for the treatment of unilateral condylar hypertrophy

TAN Hui-lin¹, QU Bin-bin^1,2, LEI Rong-chang^1,2, CHAI An²

1. School of Stomatology, Hunan University of Chinese Medicine. Changsha 410208;
2. Department of Oral and Maxillofacial Surgery, Changsha Stomatological Hospital. Changsha 410006, Hunan Province, China

Received:2024-07-29 Revised:2024-10-14 Online:2025-01-20 Published:2025-01-23

摘要/Abstract

摘要： 单侧髁突肥大（unilateral condylar hypertrophy,UCH）是一类发育性颌骨不对称疾病,其病因及发病机制目前尚不明确。主要表现为单侧髁突过度生长、面部进行性偏斜、咬合紊乱、颞下颌关节功能障碍等,患者常因面部不对称就诊。本文报告1例UCH患者,该患者左侧髁突肥大,偏颌畸形明显影响咬合功能。在行左侧髁突高位切除、上颌骨Lefort Ⅰ型及双侧下颌矢状劈开术后患者面型及咬合功能改善。在诊疗过程中利用软件进行虚拟手术设计,术中使用3D板,缩短手术时间,手术效果良好。

关键词: 髁突高位切除, 正颌手术, 单侧髁突肥大, 虚拟手术

Abstract: Unilateral condylar hypertrophy (UCH) is a kind of developmental asymmetry of jaw bone diseases, its etiology and pathogenesis are not clear. The main manifestations are unilateral condylar overgrowth, progressive facial deviation, occlusal disorder, temporomandibular joint dysfunction, etc. Patients often seek treatment for facial asymmetry. This paper reported a case of UCH. The patient had left condylar hypertrophy and mandibular deformity which significantly affected occlusal function. The patient's facial shape and occlusal function improved after left high condylectomy, maxillary Le Fort I osteotomy and bilateral sagittal split ramus osteotomy. In the diagnosis and treatment process, software was used to carry out virtual surgical design, and 3D occlusal splints was used during operation, which shortened the operation time and achieved good surgical results.

Key words: High condylectomy, Orthognathic surgery, Unilateral condylar hypertrophy, Virtual surgery

中图分类号:

R782.2

谭惠琳, 曲彬彬, 雷荣昌, 柴安. 髁突高位切除联合正颌手术治疗单侧髁突肥大1例报告[J]. 中国口腔颌面外科杂志, 2025, 23(1): 101-104.

TAN Hui-lin, QU Bin-bin, LEI Rong-chang, CHAI An. A case of high condylectomy combined with orthognathic surgery for the treatment of unilateral condylar hypertrophy[J]. China J Oral Maxillofac Surg, 2025, 23(1): 101-104.

参考文献

[1] Obwegeser HL, Makek MS.Hemimandibular hyperplasia-hemimandibular elongation[J]. J Maxillofac Surg, 1986, 14(4): 183-208.
[2] Wolford LM, Movahed R, Perez DE.A classification system for conditions causing condylar hyperplasia[J]. J Oral Maxillofac Surg, 2014, 72(3): 567-595.
[3] Surendran KSB, Cobb MA, Keith DJW, et al.Choosing the best method to utilise single positron emission computed tomography (SPECT) scans in the management of unilateral condylar hyperplasia[J]. Br J Oral Maxillofac Surg, 2020, 58(9): 1193-1196.
[4] Karssemakers LHE, Nolte JW, Rehmann C, et al.Diagnostic performance of SPECT-CT imaging in unilateral condylar hyperplasia[J]. Int J Oral Maxillofac Surg, 2023, 52(2): 199-204.
[5] Yang Z, Reed T, Longino BH.Bone scintigraphy SPECT/CT evaluation of mandibular condylar hyperplasia[J]. J Nucl Med Technol, 2016, 44(1): 49-51.
[6] 赵可臻, 常士平, 张哲儒, 等. 髁突高位切除术治疗单侧髁突肥大患者偏颌畸形效果的系统性评价[J].实用口腔医学杂志, 2023, 39(3): 355-363.
Zhao KZ, Chang SP, Zhang ZR, et al.Systematic review of the effects of high condylectomy on improving facial deformity in patients with unilateral condylar hyperplasia[J]. Journal of Practical Stomatology, 2023, 39(3): 355-363.
[7] Abotaleb B, Bi R, Telha W, et al.Treatment measures of hemimandibular hyperplasia and associated facial deformities[J]. J Craniomaxillofac Surg, 2021, 49(2): 126-134.
[8] 吴雨桐, 孙健, 李亚莉, 等. 骨性Ⅲ类错正颌手术前、后面部软、硬组织变化比率的三维研究[J].上海口腔医学, 2019, 28(2): 158-164.
Wu YT, Sun J, Li YL, et al.Three dimensional study on change ratios of hard and soft tissue after orthognathic surgery[J]. Shanghai Journal of Stomatology, 2019, 28(2): 158-164.
[9] 刘燕菲, 李运峰, 祝颂松. 虚拟手术设计在双颌正颌手术中的精准性研究[J].口腔疾病防治, 2020, 28(1): 30-35.
Liu YF, Li YF, Zhu SS.Research on the precision of virtual surgical planning in two-jaw orthognathic surgery[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(1): 30-35.
[10] 余晓宁, 蔡洁琛. 3D打印导板辅助手术治疗髁突骨软骨瘤及继发复杂牙颌面畸形的疗效评价[J].医学理论与实践, 2019, 32(11): 1699-1700.
Yu XN, Cai JC.Evaluation of 3D printing guide assisted surgery in the treatment of condylar osteochondroma and secondary complex dental and maxillofacial deformities[J]. The Journal of Medical Theory and Practice, 2019, 32(11): 1699-1700.
[11] Kwon TG, Choi JW, Kyung HM, et al.Accuracy of maxillary repositioning in two-jaw surgery with conventional articulator model surgery versus virtual model surgery[J]. Int J Oral Maxillofac Surg, 2014, 43(6): 732-738.
[12] 梁昌富, 陈国新, 宋静, 等.双侧髁突肥大术后的正畸治疗1例[J].临床口腔医学杂志, 2019, 35(7): 431-433.
Liang CF, Chen GX, Song J, et al.Orthodontic treatment after bilateral condylar hypertrophy: a case report[J]. Journal of Clinical Stomatology, 2019, 35(7): 431-433.

[1]	王烨, 黄慧敏, 王圆, 吕翔. 不同体位对正颌术后气管拔管安全性及应激反应的影响[J]. 中国口腔颌面外科杂志, 2024, 22(2): 181-185.
[2]	葛卫文, 祁磊, 王昀, 张雷. 改良鼻旁植骨减少Le Fort I型截骨术后上颌骨垂直向复发的探讨[J]. 中国口腔颌面外科杂志, 2023, 21(2): 163-167.
[3]	王守鹏, 孟箭, 张雷. 上颌骨Le Fort Ⅰ型截骨术后上颌窦炎的研究现状[J]. 中国口腔颌面外科杂志, 2023, 21(1): 75-80.
[4]	杨鑫, 吕明明, 李军, 孙坚. 虚拟手术计划在经口内入路行下颌骨切除及精确重建中的应用：附9例报道[J]. 中国口腔颌面外科杂志, 2021, 19(5): 469-473.
[5]	瞿然奕, 汪席均, 江凌勇. 垂直向控制在矫正成人骨性Ⅱ类高角错畸形应用中的研究进展[J]. 中国口腔颌面外科杂志, 2021, 19(3): 284-288.
[6]	袁卫军, 李丽, 杨霞, 刘婷, 单瑛, 朱怡. 牙颌面畸形患者术后留置胃管对口腔健康相关生活质量的影响[J]. 中国口腔颌面外科杂志, 2019, 17(6): 518-521.
[7]	河奈玲, 洪越扬, 杨筱, 房兵, 江凌勇. 功能板影响错伴特发性髁突吸收正颌术后稳定性的初步研究[J]. 中国口腔颌面外科杂志, 2018, 16(4): 338-342.
[8]	林雨恒, 沈国芳, 于洪波. 软组织形变建模在虚拟手术中的应用进展[J]. 中国口腔颌面外科杂志, 2017, 15(1): 86-89.
[9]	张凌，朱莹. 右美托咪定在口腔颌面外科正颌手术控制性降压中的作用[J]. 中国口腔颌面外科杂志, 2016, 14(1): 62-65.
[10]	王敏娇，司家文，张剑飞，王旭东，沈国芳* ，于洪波*. 数字化模型外科在牙颌面畸形治疗中的应用[J]. 中国口腔颌面外科杂志, 2015, 13(6): 497-501.
[11]	于洪波, 张雷, 王旭东, 张文斌, 沈国芳. 面中部牵引成骨结合正颌手术治疗Binder 综合征[J]. 中国口腔颌面外科杂志, 2014, 12(4): 323-327.
[12]	黄立, 柳稚旭, 张雷, 沈舜尧, 王旭东. 改良双侧下颌支矢状劈开术固定法在矫正面部不对称畸形中的初步应用[J]. 中国口腔颌面外科杂志, 2014, 12(1): 30-34.
[13]	蔡鸣;卢晓峰;沈国芳;王旭东;张雷;王博;杨彤. 上颌Le Fort I型截骨与颏成形术后继发下颌骨外科纤毛囊肿：罕见病例报道及文献复习 [J]. 中国口腔颌面外科杂志, 2013, 11(5): 433-437.

髁突高位切除联合正颌手术治疗单侧髁突肥大1例报告

A case of high condylectomy combined with orthognathic surgery for the treatment of unilateral condylar hypertrophy

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 13

编辑推荐

Metrics

本文评价