勒福氏截骨術

勒福氏截骨術
勒福氏截骨術
	三種類型的勒福氏截骨術
MeSH	D019340

勒福氏截骨術包括三種類型的顎面截骨術（英語：Ostenotomy）。它們源於法國醫生勒內·勒福（英語：René Le Fort）所歸納的三種同名骨折（英語：Le Fort fracture of skull）。^[1]^[2]

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第一型

勒福氏第一型截骨術透過手術移動上顎，以糾正錯位和畸形。這術式適用於治療多種疾病，包括骨性哨牙、唇裂和顎裂、垂直上顎骨過長（英語：Vertical maxillary excess）或缺陷，以及某些特定類型的臉部創傷（英語：Facial trauma），特別是影響中臉的創傷。該過程包括分離上顎，將其平移及旋轉至適合的位置和角度，然後再用板和螺絲固定。^[2]^[3]

第二型

勒福氏第二型截骨術可治療上顎骨骨折。^[4]

第三型

勒福氏第三型截骨術可用於糾正涉及上顎、鼻子和顴骨中顏面異常和缺陷。^[5]

「第四型」

2000 年代，有法國文獻使用勒福氏第四型截骨術來描述整體額面部截骨術（英語：monobloc frontofacial osteotomy），但這術語飽受爭議。^[6] 2014年，有日本文獻使用同一術語來描述整體額面部減去勒福氏第一型截骨術。^[7]

參見

正顎手術

參考文獻

[1]
Patterson R. The Le Fort fractures: René Le Fort and his work in anatomical pathology. Canadian Journal of Surgery. April 1991, 34 (2): 183–4. PMID 2025808.
[2]
Buchanan EP, Hyman CH. LeFort I Osteotomy. Seminars in Plastic Surgery. August 2013, 27 (3): 149–54. PMC 3805729 . PMID 24872761. doi:10.1055/s-0033-1357112.
[3]
Moorhead A, Serra M. Le Fort Osteotomy. StatPearls Publishing. 17 October 2022 [27 January 2024]. PMID 33232042.
[4]
Lakin GE, Kawamoto HK. Le Fort II osteotomy. The Journal of Craniofacial Surgery. November 2012, 23 (7 Suppl 1): 1964–7. PMID 23154355. S2CID 22115386. doi:10.1097/SCS.0b013e31825b351d.
[5]
Tiwana PS, Turvey TA. Subcranial procedures in craniofacial surgery: the Le Fort III osteotomy. Oral and Maxillofacial Surgery Clinics of North America. November 2004, 16 (4): 493–501. PMID 18088750. doi:10.1016/j.coms.2004.08.001.
[6]
LAURENT, Elodie. CRANIOSTENOSE: ETUDE D'UN CAS FAMILIAL - PRISE EN CHARGE ODONTOLOGIQUE ET MAXILLO- FACIALE (PDF). 2013.
[7]
Sakamoto, Y; Nakajima, H; Tamada, I; Sakamoto, T. Le Fort IV + I distraction osteogenesis using an internal device for syndromic craniosynostosis.. Journal of Oral and Maxillofacial Surgery. April 2014, 72 (4): 788–95. PMID 24280175. doi:10.1016/j.joms.2013.09.041.

[pmid2025808-1] [1]
Patterson R. The Le Fort fractures: René Le Fort and his work in anatomical pathology. Canadian Journal of Surgery. April 1991, 34 (2): 183–4. PMID 2025808.

[pmid24872761-2] [2]
Buchanan EP, Hyman CH. LeFort I Osteotomy. Seminars in Plastic Surgery. August 2013, 27 (3): 149–54. PMC 3805729 . PMID 24872761. doi:10.1055/s-0033-1357112.

[pmid33232042-3] [3]
Moorhead A, Serra M. Le Fort Osteotomy. StatPearls Publishing. 17 October 2022 [27 January 2024]. PMID 33232042.

[pmid23154355-4] [4]
Lakin GE, Kawamoto HK. Le Fort II osteotomy. The Journal of Craniofacial Surgery. November 2012, 23 (7 Suppl 1): 1964–7. PMID 23154355. S2CID 22115386. doi:10.1097/SCS.0b013e31825b351d.

[pmid18088750-5] [5]
Tiwana PS, Turvey TA. Subcranial procedures in craniofacial surgery: the Le Fort III osteotomy. Oral and Maxillofacial Surgery Clinics of North America. November 2004, 16 (4): 493–501. PMID 18088750. doi:10.1016/j.coms.2004.08.001.

[6] [6]
LAURENT, Elodie. CRANIOSTENOSE: ETUDE D'UN CAS FAMILIAL - PRISE EN CHARGE ODONTOLOGIQUE ET MAXILLO- FACIALE (PDF). 2013.

[7] [7]
Sakamoto, Y; Nakajima, H; Tamada, I; Sakamoto, T. Le Fort IV + I distraction osteogenesis using an internal device for syndromic craniosynostosis.. Journal of Oral and Maxillofacial Surgery. April 2014, 72 (4): 788–95. PMID 24280175. doi:10.1016/j.joms.2013.09.041.

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