Bi-maxillary Osteotomy 上下颚手术/突嘴矫正
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- Bi-maxillary Osteotomy 上下颚手术/突嘴矫正
别名
颚骨矫正手术、颌骨矫正手术、双鄂手术、突嘴手术
项目介绍
上下颚手术,其学术用语是“颚骨矫正手术”或者“颌骨矫正手术”,因能够调整上颌(上颚)与下颌(下颚)的位置,所以又称之为双鄂手术;如果有反颌、面部不对称等下巴位置或功能上的问题时,则需要截骨来摆正上颚与下颚的位置,不仅能矫正咀嚼和说话等功能上的问题,还具有卓越的外貌改善效果。
项目特色
传说很多明星就是通过这项手术,偷天换日成功变脸的。
功效
改善突嘴,脸型美化,改脸型,面部不对称矫正
适合人群特征
下牙槽骨突出,上颚牙弓狭窄,上前牙倾斜前伸,突嘴
适合人群
龅牙(不是牙齿前突而是牙床向前突出)者; 自然状态下不能闭合,开唇露齿者; 笑时牙龈大量外露,露龈笑患者; “鸟嘴”畸形,上下颌前突者; 小颌畸形、小下巴、面部比例失衡者。
关注度
⭐⭐⭐⭐⭐
安全度
⭐⭐⭐✩✩
复杂度
⭐⭐⭐⭐⭐
项目优点
上下颚截骨后,回到正常的位置,能解决说话和咀嚼等功能上的问题; 调整面部比例和线条,提高颜值; 能同时解决突嘴、地包天和面部不对称等问题。
项目缺点
手术创伤大、风险和术后并发症多; 术后恢复较慢,需8-12周的时间,才能完全固定; 手术费用较高,对医生和机构要求高。
禁忌人群
心脏病、肝炎、肾炎、肺炎患者; 血液性疾病、糖尿病、甲亢等疾病患者; 麻醉药有过敏史者; 面部有神经性病变者; 瘢痕体质者; 精神病患者、心理障碍者; 月经期或妊娠期者。
留疤
无
治疗时长
3小时左右
麻醉方式
全麻
治疗周期
单次
操作方式
手术
效果持续
持久
恢复时间
6个月
操作人员资质
医疗美容科或整形科执业医师
疼痛感
轻度疼痛
术前必读
- 头颅X光片、CT、头颅骨3D打印模型;
- 全口牙齿模型;
- 健康状况良好,无感冒、感染等;
- 胸片、心电图、血化验(常规、微生物、出凝血、生化)检查;
- 术前2周洁牙;
- 女性要避开月经期、哺乳期以及妊娠期;
- 男性要提前戒烟2周。
0天~3天严重肿胀期
恢复提示:
肿胀比较严重,皮肤淤青,有疼痛感,术后一天伤口少许渗血。
护理方法:
- 面部加压包扎;
- 注意保持清洁干燥,7天内伤口不能沾水;
- 可进食半流食,多喝冬瓜排骨汤等,多吃水果。
4天~6天快速消肿期
恢复提示:
肿胀逐渐吸收,轻度疼痛。
护理方法:
- 拆线前不能沾水;
- 忌辛辣刺激性食物,多吃水果,蔬菜,注意补充蛋白质;
- 减少活动,严禁用手碰触手术切口;
- 保证手术部位清洁,防止感染;
- 如果伤口上有血痂或分泌物,可用无菌盐水擦拭。
7天~7天拆线日
恢复提示:
7天到院拆线(因为术式不同,需按医嘱时间,到院拆线)。
护理方法:
- 保持伤口清洁,防止感染;
- 拆线后24小时内,伤口不能沾水;
- 不可用力揉搓伤口;
- 注意饮食清淡,禁食辛辣刺激性食物。
8天~15天持续消肿期
恢复提示:
肿胀逐渐吸收,伤口愈合发痒,形态等待恢复。
护理方法:
- 禁用任何可能影响伤口,愈合的补品、药品;
- 禁烟酒、辛辣、海鲜等刺激性食物,尽量半流食。
16天~30天组织恢复期
恢复提示:
肿胀逐渐吸收,成型固定,形态慢慢恢复固定,双侧相对对称。
护理方法:
- 不可挤压、按摩术区;
- 不能做啃、撕咬等动作。
31天~180天效果稳定期
恢复提示:
肿胀逐渐吸收,组织恢复,效果慢慢明显,较佳效果在6个月后。
护理方法:
- 术后3个月内尽量避免,用力咬较硬东西;
- 术后3个月内,不得做面部美容按摩,不得搓揉手术区域;
- 术后3个月内,最好配合戴颈颌套,以预防皮肤的松弛或下垂。
温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同,恢复周期、拆线时间及护理方法均会有所不同。具体护理方案,建议遵医嘱执行。
Alias Name
Double jaw surgery; Orthognathic surgery
Procedure Detail
Orthognathic surgery is an operation to reposition the jaws. The operation aims to correct imbalance between the upper and lower jaws which will enable the teeth to bite together correctly; this also has the benefit of balancing and enhancing the facial appearance.
Features
The goal is to improve the function and appearance of your jaws.
Benefits
To correct a severe malocclusion from a misaligned jaw; correct asymmetry; correct an overbite, crossbite, and open bite in adults.
Recommended
Jaw misalignment, incorrect jaw size, small chin, gummy smile
Suitable Candidate
People who have an abnormally long face or chin. People who have lantern (square) jaw with malocclusion (an incorrect relation between the teeth of the two dental arches when they approach each other as the jaws close); small chin; gummy smile, mouth protruding
Popularity
⭐⭐⭐⭐⭐
Safety
⭐⭐⭐✩✩
Complexity
⭐⭐⭐⭐⭐
Pros
Improve oral function, improve both dental and facial appearance and improve health related quality of life.
Cons
Surgery is traumatic, risky, and might have postoperative complications; bone healing and recovery are slow, and it takes 8-12 weeks to be completely fixed; the cost of surgery is high, and the requirements for doctors are high.
Unsuitable Candidate
Patients with heart disease, hepatitis, nephritis, and pneumonia; patients with hypertension, blood diseases, diabetes, and hyperthyroidism; patients with a history of allergies to anesthetics; patients with infections in the operating area, such as dental caries, periodontitis, and oral ulcers; Tumor patients; those with neurological lesions on the face; those with scar hyperplasia; those with mental illness or psychological disorders; those with menstruation, lactation or pregnancy.
Scar
No
Treatment Time
About 3 hours
Anesthesia Method
General anaesthesia
Treatment Cycle
Single time
Procedures Technique
Surgery
Sustained Effect
Permanent
Recovery Period
6 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
Mild
Before the Procedure
- Head X-ray, CT, 3D print of skull;
- Full mouth tooth model;
- Good health, no colds, infections, etc.;
- Chest radiograph, electrocardiogram, blood test (routine, microbiology, coagulation, biochemical) examination;
- polish teeth 2 weeks before surgery;
- Women should avoid menstrual period, breastfeeding period and pregnancy period;
- Men should quit smoking 2 weeks in advance.
0 day~3 days Severe swelling period
Recovery tips:
severe swelling, bruises, pain, and a little bleeding from the wound one day after surgery.
Aftercare methods:
- Pressure dressing;
- Keep wound clean and dry, and the wound should not be exposed to water within 7 days;
- You can eat semi-liquid food
4 – 6 days rapid recovery period
Recovery tips:
swelling gradually absorbed, mild pain.
Aftercare methods:
- No water on wound before removing the stitches;
- Avoid spicy and irritating food, eat more fruits and vegetables, supplement more protein;
- Reduce activities and do not touch the surgical incision with your hands;
- Ensure that the surgical site is clean, Prevent infection;
- If there is blood scab or secretion on the wound, wipe it with sterile saline.
7th day stitch removal day
Recovery tips:
7 days for the stitches to be removed at the hospital (because the procedure is different, the stitches must be removed at the hospital at the time of the doctor’s order).
Aftercare methods:
- Keep the wound clean to prevent infection;
- Within 24 hours after the stitches are removed, the wound should not be exposed to water;
- Do not rub the wound vigorously. You can apply scar ointment to lighten the scars;
- Opt for a light diet and no spicy food.
8-15 days continuous swelling period
Recovery tips:
the swelling is gradually absorbed, the wound is healed and might be itchy, and the result will slowly show.
Aftercare methods:
- No supplements and medicines that may affect wounds healing;
- Avoid smoking, alcohol, spicy food, seafood, try to consume food in semi-liquid form
16 – 30 days tissue recovery period
Recovery tips:
the swelling is gradually absorbed, the result is obvious, and the face shape are relatively symmetrical.
Aftercare methods:
- Do not squeeze or massage the area;
- Do not chew, bite, etc.
31 – 180 days stable effect period
Recovery tips:
swelling gradually absorbed, tissue recover, the result is gradually obvious, the best effect is after 6 months.
Aftercare methods:
- Try to avoid biting hard things within 3 months after the operation,
- do not do facial massage, do not rub the operation area within 3 months after the operation,
- It is best to wear a jaw strap to prevent sagging within 3 months after the operation.
Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.
FAQ 常见问答题
No need, the first surgical osteotomy, after the bone is fixed, if there is a tooth protrusion, you can be 6 months after the surgery, and then orthodontic.
不需要,先进行手术截骨,待骨骼固定后,如果存在牙齿突出的,可以在手术6个月以后,再进行牙齿矫正。
Simple tooth protrusion, only need tooth correction; If the alveolar bone is protruding, it needs surgical correction, which is reflected in the side view, and the severe protrusion of the mouth or gums together.
单纯牙齿突出,只需牙齿矫正;如果是牙槽骨突出,就需要手术矫正,体现在侧面看时,严重突嘴或牙床一起突出者。
Any operation has risks, experienced doctors in the operation, will avoid blood vessels and nerves, to avoid the occurrence of surgical risks; The operation requires the use of intubation anesthesia, which can avoid suffocation caused by secretions, blocking the respiratory tract, and avoid serious risks of surgery.
任何手术都有危险,经验丰富的医生在手术中,会避开血管和神经,避免手术风险的发生;手术要求采用插管麻醉,能够避免分泌物,堵塞呼吸道导致的窒息,将手术严重的风险避开。
There are risks associated with any surgery; The operation of upper and lower jaw is performed through an intraoral incision, exposing the jaw bone, and then through a bone amputation, which may damage the surrounding nerves. In addition, complications such as bleeding, infection, and inflammation may occur after surgery, which vary in degree according to personal physical differences and need to be carefully cared for.
任何手术都存在一定的危险性;上下颚手术是通过口内切口,暴露颌骨后,再通过截骨内推,操作中有可能会损伤周围的神经;此外,术后可能会发生出血、感染、炎症等并发症出现,根据个人体质差异,其程度有所不同,需加小心护理。
Return to normal life and participate in normal social activities, which is basic detumescence, mainly refers to the regression of local congestion and inflammatory edema after surgery, generally about 2 weeks; However, to completely reduce swelling, complete recovery, and achieve the expected results of surgery, it generally takes about 3-6 months.
恢复正常生活,参加正常的社交活动,属于基本消肿,主要是指术后局部淤血和炎症性水肿的消退,一般2周左右即可;但要完全消肿、完全恢复,达到手术预期效果,一般需要3-6个月左右的时间。