什么情况需要正颌外科手术?

2025-03-15 07:42:23
推荐回答(1个)
回答1:

除了外观受影响外,患者也常因咬字不清和咀嚼困难备受困扰,下颌前突的发病因素,有一部分是受遗传的影响,但是真正的原因多半不明。下颌前突会使脸部下半部分向前突出。从侧面看会明显见到下巴突出,正面看则下巴会较正常人宽、大,上嘴唇显得较薄,鼻子两侧显得后缩。有部分患者会有两侧下巴大小不对称与偏斜的情形。 双颌前突(Bimaxillary Protrusion 俗名:龅牙):双颌前突由于上下前牙突出,在外观上常见为牙齿外露,双唇无法自然闭合,嘴巴显得比较大,嘴唇较厚,相对之下,下巴显得小而后缩。再加上患者为掩饰外露的牙齿强行闭合双唇会使下巴显得更小。双颌前突的治疗,依程度与年纪会有所不同。在青春期时可以用牙科矫正治疗,成人期则可合并正颌手术治疗。 上颌后缩(Maxillary Retrusion):上颌后缩较多见于腭裂患者及某些先天颅面畸形患者。临床乍看下外观会与下颌前突相似,但鼻子两侧的凹陷会比较明显。主要原因为上颌发育较下颌差,而不是下颌太突出。 下颌后缩(Mandible Retrusion):外观上下巴会显得小而短,脸型较短。下颌后缩常合并有牙齿开牙合的情形,此时上下颌都必须手术才能重建正常的脸型。部分病人会合并有颞下颌关节的问题与睡眠时的呼吸障碍,打鼾也是常见症状。

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