Dental and Skeletal Correction of Möbius Syndrome: A Case Report

以正顎手術合併矯正治療Möbius症候群─病例報告

楊雅玲(Yea-Ling Yang) ； 柯雯青(Ellen Wen-Ching Ko) ； 黃炯興(Chiung-Shing Huang) ； 陳昱瑞(Yu-Ray Chen)

《中華民國齒顎矯正學雜誌》 24卷1期 (2012/03) Pp. 55-63

https://doi.org/10.30036/TJO.201203.0006

摘要

本將例報告探討Möbius症候群之臨床顱顏特徵與正顎矯正治療。一位26歲Mobious症之女性求診主訴為上排前牙露出量太多及咬合不正，臨床檢查顯示為骨性三級咬合不正，由於下顎角過大與後旋以致下巴外型反而呈現後縮的外貌。口內檢查呈現前齒錯咬與多顆臼齒喪失。經過完整評估後，病人接受正顎手術合併矯正治療。在術式上包括：上顎勒福一型截骨術壓入及後退上顎骨；下顎則是採用雙側矢狀劈開截骨術將下顎齒列後退以及頦成型術塑形下巴外型，並於雙顎手術的設計中盡量達成對稱性的改善。在矯正治療方面則關閉臼齒空間並將右下水平智齒扶正。在治療結束後追蹤病患兩年，其手術結果及咬合功能都相當的穩定。本報告亦針對Möbius症之軟組織處理相關問題提出回顧與討論。（J. Taiwan Assoc. Orthod. 24（1）: 55-63, 2012）

關鍵字

Möbius症候群 ； 正顎手術

並列摘要

A 26-year-old female presented with Möbius syndrome. She came with chief complaint of excessive exposure her front teeth. She had Class III malocclusion with anterior cross bite. However she had a hyperdivergent face and backward rotation of the mandible without effective chin.After evaluation, she underwent orthognathic surgery and orthodontic treatment. The surgical techniques for correction her skeletal problems included maxillary Le Fort I osteotomy impaction and setback; mandibular bilateral sagittal split osteotomies setback; advancement and reduction genioplasty.The two-year follow up after treatment indicated that the surgical outcome and occlusion were stable. (J. Taiwan Assoc. Orthod. 24(1): 55-63, 2012)

並列關鍵字

Möbius syndrome ； Orthognathic surgery