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頁籤選單縮合
題名 | Management of Class Ⅲ Malocclusion in Patient with Osteogenesis Imperfecta=使用正顎手術治療成骨不全症的三級異常咬合 |
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作者 | 張呈欣; 陳怡傑; 黃慧芬; 柳勇全; 陳潤茺; 羅綸洲; 陳國鼎; 黃炯興; 陳昱瑞; Chang, Frank Chun-shin; Chen, Yi-chieh; Huang, Faye; Liu, Stanley; Chen, Zung-chung; Lo, Lun-jou; Chen, Philip Kuod-ting; Huang, Chiung-shing; Chen, Yu-ray; |
期刊 | 臺灣整形外科醫學會雜誌 |
出版日期 | 20130900 |
卷期 | 22:3 2013.09[民102.09] |
頁次 | 頁252-259 |
分類號 | 416.97 |
語文 | eng |
關鍵詞 | 正顎手術; 成骨不全症; 三級異常咬合; Orthognathic surgery; Osteogenesis imperfecta; Class Ⅲ malocclusion; |
中文摘要 | 背景:成骨不全症又稱脆骨症,這類的病患被稱為「玻璃娃娃」,是一種先天性遺傳疾病,這種疾病會造成第一型膠原纖維缺陷,成骨不全症的發生機率為五千分之一至萬分之一,成骨不全症依照嚴重度分為四大類性。成骨不全症會影響臉部骨骼的生長,病患可能呈現二級或三級異常咬合、上頷骨發育不全與前後開咬。目的及目標:描述使用正顎手術治療成骨不全症的三級異常咬合。材料與方法:三十二歲台灣男性,病人診斷為第三型成骨不全症。病患呈現嚴重上頷發育不全,下頷突出與嚴重的三級異常咬合。在接受牙科與整形外科評估後我們使用正顎手術治療病患。結果:病患手術中發現骨骼脆弱,但是正顎手術仍然完美的完成。病患術後恢復良好。經過了三年的追蹤病患的骨骼癒合良好並沒有復發的情形。結論:典型的成骨不全症病患由於骨骼相當脆弱,在施行臉部骨骼截骨術時必須非常的小心。成骨不全症的病患是可以接受症顎手術治療的。 |
英文摘要 | Background:Osteogenesis imperfecta (OI), or so called brittle bone syndrome is a serious inherited disorder of connective tissue characterized by increased fragility of the bone tissue. The incidence of OI is 1 in 5000 to 1 in 10,000 of the population. Four types of OI exist. Osteogenesis imperfecta may involve facial bone and presented with maxillary hypoplasia, anterior and posterior cross bite and Class II and III malocclusion.Aim and Objectives:The aim of this article is to discuss a patient with type III OI who underwent orthognathic surgery.Materials and Methods:A 32-year-old male patient with type III osteogenesis imperfecta presented with loss of most of his teeth, dentinogenesis imperfecta and severe type III malocclusion.Results:Successful two jaw surgery with Le Fort I osteotomy and bilateral sagittal split ramus osteotomies was performed. The patient recovered uneventfully. Three years follow up, the patient did not have any significant relapse.Conclusion:Based on literature review, the orthognathic surgery should be performed cautiously on patient with OI. Their bone was fragile. Some of them have bleeding tendency. With meticulous pre-surgical planning and cautious surgical procedure, orthognathic surgery can be successfully performed in patient with OI. |
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