下颌骨牵张成骨治疗颅面短小畸形儿童的争议
The controversy in treatment of mandibular distraction osteogenesis in children with craniofacial microsomia
梁迎香 1刘伟 1张智勇1
作者信息
- 1. 中国医学科学院北京协和医学院整形外科医院颅颌面整形三科,北京 100086
- 折叠
摘要
在颅面短小畸形儿童治疗中,下颌骨牵张成骨扮演着举足轻重的角色,下颌骨牵张成骨术(mandibular distraction osteogenesis,MDO)不仅可以让患者在儿童时期就实现面部对称,更有益于儿童身心健康.但绝大多数颅面短小畸形(craniofa-cial macrosomia,CFM)患儿接受MDO后复发率可达100％,往往需要接受二次手术.越来越多学者质疑MDO在CFM儿童治疗的意义.现就MDO在CFM儿童的不同时期、不同严重程度中运用的争议作一综述.
Abstract
In the treatment of craniofacial microsomia in children,mandibular distraction osteogenesis(MDO)plays a crucial role.MDO not only enables patients to achieve facial symmetry during childhood but also contributes to the psychological well-being of children.However,literature indicates that in the majority of craniofacial microsomia(CFM)patients,recurrence rates after MDO during childhood can reach 100％,often necessitating secondary surgery.Increasingly,scholars are questioning the significance of MDO in the treatment of CFM in children.This review will summarize and discuss the controversies surrounding the use of MDO in children with CFM at different stages and varying degrees of severity.
关键词
颅面短小畸形/下颌骨牵张成骨术/治疗/争议/儿童Key words
Craniofacial microsomia/Mandibular distraction osteogenesis/Treatment/Controversy/Children引用本文复制引用
出版年
2024
NETL
NSTL
万方数据