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LeFortⅠ型截骨术是正颌外科的常用手术,其应用报告较多,但就其并发症的报告较少。本文结合57例LeFort Ⅰ型截骨术所遇到的各类并发症进行了讨论,并就其预防及处理提出了改进意见和措施。这些并发症分别是1出血、2骨延迟愈合、3腭粘膜损伤、牙银乳头萎缩、4感染、5鼻中隔弯曲及鼻变形、6牙髓坏死。本文对各类并发症产生的原因进行了分析,针对不同原因改进手术操作或采取预防措施。以尽可能减少各类并发症的产生,提高手术矫治效果。
LeFort Ⅰ type osteotomy is a common operation of orthognathic surgery, the application of more reports, but less on its complications reported. This article combines 57 cases of LeFort Ⅰ type osteotomy encountered various complications were discussed, and its prevention and treatment of the proposed improvements and measures. These complications were 1 bleed, 2 delayed union, 3 palatal mucosa injury, atrophy of silver-silver nipple, 4 infections, 5 nasal septal curvature and nasal deformity, and 6 pulp necrosis. This article analyzes the causes of various complications, for different reasons to improve the operation or take preventive measures. To minimize the occurrence of various complications and improve the effect of surgical correction.