微创正颌外科的临床应用研究进展

doi:10.3969/j.issn.1674-8115.2025.01.012

上海交通大学学报（医学版） ›› 2025, Vol. 45 ›› Issue (1): 101-106.doi: 10.3969/j.issn.1674-8115.2025.01.012

微创正颌外科的临床应用研究进展

王睿阳¹^,²^,³(), 刘凯¹^,²^,³, 王旭东¹^,²^,³()

^1.上海交通大学医学院附属第九人民医院口腔医学院口腔颅颌面科，上海 200011
^2.国家口腔疾病临床医学研究中心，上海 200011
^3.上海市口腔医学重点实验室，上海市口腔医学研究所，上海 200011

收稿日期:2024-05-17 接受日期:2024-11-20 出版日期:2025-01-28 发布日期:2025-01-28
通讯作者: 王旭东，主任医师，博士；电子信箱：xudongwang70@hotmail.com。
作者简介:王睿阳（2003—），女，博士生；电子信箱：wangruiyang333@sjtu.edu.cn。
基金资助:
国家重点研发计划(2023YFC2414100)

Research progress in the clinical application of minimally invasive orthognathic surgery

WANG Ruiyang¹^,²^,³(), LIU Kai¹^,²^,³, WANG Xudong¹^,²^,³()

^1.Department of Oral & Cranio-Maxillofacial Surgery, College of Stomatology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
^2.National Clinical Research Center for Oral Diseases, Shanghai 200011, China
^3.Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China

Received:2024-05-17 Accepted:2024-11-20 Online:2025-01-28 Published:2025-01-28
Contact: WANG Xudong, E-mail: xudongwang70@hotmail.com.
Supported by:
National Key R&D Program of China(2023YFC2414100)

摘要/Abstract

摘要：

正颌外科是一种通过切开畸形的上下颌骨骨段，将牙-颌骨复合体移动至设计的矫正位置，以建立协调的牙弓与牙颌关系，并改善面部外形的外科手术方式。随着医疗技术的迅速发展和临床实践经验的不断积累，结合内镜、压电手术刀、激光、导航和机器人等微创手术器械的微创正颌外科凭借着其创伤小、精确度高等优势，逐渐成为正颌外科领域中研究和关注的焦点。目前，微创正颌外科的临床应用尚未得到系统性阐述。鉴于其对正颌外科领域发展的推动作用，该文将对微创正颌外科临床应用的最新进展进行综合评述与展望，旨在为未来的研究与临床实践提供参考。

关键词: 正颌外科, 微创, 加速康复

Abstract:

Orthognathic surgery is a procedure that involves cutting the deformed segments of the upper and lower jawbones and moving the dentoalveolar complex to a predetermined corrective position, aiming to establish a harmonious dental arch and occlusal relationship and improve facial appearance. With the rapid advancement of medical technology and the accumulation of clinical experience, minimally invasive orthognathic surgery, which uses endoscopy, piezoelectric bone scalpels, lasers, navigation systems, and robotic-assisted surgical devices, is gaining increasing attention due to its advantages of minimal trauma and high precision. However, the clinical application of minimally invasive orthognathic surgery has not yet been systematically explored. Given its significant role in advancing the field of orthognathic surgery, this paper aims to provide a comprehensive review of the latest progress in the clinical application of minimally invasive orthognathic surgery and offer an outlook on future directions, with the goal of providing valuable insights for future research and clinical practice.

Key words: orthognathic surgery, minimally invasive, accelerated rehabilitation

中图分类号:

R782

王睿阳, 刘凯, 王旭东. 微创正颌外科的临床应用研究进展[J]. 上海交通大学学报（医学版）, 2025, 45(1): 101-106.

WANG Ruiyang, LIU Kai, WANG Xudong. Research progress in the clinical application of minimally invasive orthognathic surgery[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2025, 45(1): 101-106.

参考文献 33

1	WEISS R O 2nd, ONG A A, REDDY L V, et al. Orthognathic surgery-LeFort I osteotomy[J]. Facial Plast Surg, 2021, 37(6): 703-708.
2	BAHMANYAR S, NAMIN A W, WEISS R O 2nd, et al. Orthognathic surgery of the mandible[J]. Facial Plast Surg, 2021, 37(6): 716-721.
3	杨鑫, 王晓霞, 李自力, 等. 正颌手术前后患者心理韧性与生活质量相关性研究 [J]. 口腔医学研究, 2021, 37: 750-754.
	YANG X, WANG X X, LI Z L, et al. Study on the correlation between mental toughness and quality of life of patients before and after orthognathic surgery [J]. Journal of Stomatology, 2021, 37: 750-754.
4	KIM D H, KIM S W, KIM G J, et al. Efficacy and safety of minimally invasive thyroid surgery: a network meta-analysis[J]. Laryngoscope, 2023, 133(10): 2470-2479.
5	GHOLIZADEH M, BAKHSHALI M A, MAZLOOMAN S R, et al. Minimally invasive and invasive liver surgery based on augmented reality training: a review of the literature[J]. J Robot Surg, 2023, 17(3): 753-763.
6	BRUNNER S E, DURMAZ L O, MEINZER A, et al. Minimally invasive bimanual fetal surgery-a review[J]. Children, 2022, 9(9): 1377.
7	COSTA D L, DE AZEVEDO E T, PRZYSIEZNY P E, et al. Use of lasers and piezoelectric in intraoral surgery[J]. Oral Maxillofac Surg Clin North Am, 2021, 33(2): 275-285.
8	MACEDO D V, MONNAZZI M S, DE ALMEIDA M S, et al. A novel guide for minimally invasive genioplasty[J]. Oral Maxillofac Surg, 2023, 27(4): 707-710.
9	RODRIGUEZ J H, PONSKY J L. Operating with the endoscope[J]. Surg Clin North Am, 2020, 100(6): xvii-xviii.
10	POUTOGLIDIS A, FYRMPAS G, VLACHTSIS K, et al. Role of the endoscope in cochlear implantation: a systematic review[J]. Clin Otolaryngol, 2022, 47(6): 708-716.
11	ROACH J, LIVERMORE L, PLAHA P. Endoscope-assisted resection for cystic cerebellar hemangioblastomas[J]. World Neurosurg, 2022, 167: e217-e221.
12	OSORIO J, MARTINEZ D, LÓPEZ J P, et al. Endoscopically assisted LeFort I osteotomy for minimally invasive orthognathic surgery: a technical note[J]. J Craniofac Surg, 2023, 34(6): 1862-1863.
13	IWAI T, SUGIYAMA S, HONDA K, et al. Endoscopically-assisted intraoral vertical ramus osteotomy to prevent injury of the maxillary artery and mandibular neurovascular bundle[J]. J Dent Sci, 2024, 19(1): 671-672.
14	ALASSERI N, ALASRAJ A, AL-MORAISSI E. Minimally invasive genioplasty: an observational study[J]. Oral Maxillofac Surg, 2023, 27(4): 639-645.
15	ALTWAIJRI A. Minimally invasive approaches in orthognathic surgery: a narrative review of contemporary techniques and their clinical outcomes[J]. J Pharm Bioallied Sci, 2024, 16(Suppl 2): S1652-S1656.
16	ALREFAI M, DABOUL A, FLEISCHHACKER B, et al. Piezoelectric versus conventional techniques for orthognathic surgery: systematic review and meta-analysis[J]. J Stomatol Oral Maxillofac Surg, 2022, 123(5): e273-e278.
17	BERTOSSI D, ALBANESE M, NOCINI R, et al. Osteotomy in genioplasty by piezosurgery[J]. J Craniofac Surg, 2021, 32(3): e317-e321.
18	ANTÚNEZ-CONDE HIDALGO R, SILVA CANAL J L, NAVARRO CUÉLLAR C, et al. Guided genioplasty: comparison between conventional technique and customized guided surgery[J]. J Pers Med, 2023, 13(12): 1702.
19	黄锦华, 卞洁, 孟志兵, 等. 超声骨刀联合截骨裂钻在面部轮廓截骨整形术中的应用[J]. 中国美容医学, 2021, 30(2): 77-79.
	HUANG J H, BIAN J, MENG Z B, et al. Application of ultrasonic bone knife combined with osteotomy drill in facial contour osteotomy [J]. Chinese Journal of Aesthetic Medicine, 2021, 30(2): 77-79.
20	SAHIN T, GARREAU E, KOMAKLI Y, et al. Mandibular anterior segmental subapical osteotomy for incisor axis correction[J]. J Stomatol Oral Maxillofac Surg, 2017, 118(5): 271-278.
21	DEAN A, HEREDERO-JUNG S, SOLIVERA J, et al. Computer-assisted and navigated piezoelectric surgery: a new technology to improve precision and surgical safety in craniomaxillofacial surgery[J]. Laryngoscope Investig Otolaryngol, 2022, 7(3): 684-691.
22	VITALE S G, MIKUŠ M, DE ANGELIS M C, et al. Diode laser use in hysteroscopic surgery: current status and future perspectives[J]. Minim Invasive Ther Allied Technol, 2023, 32(6): 275-284.
23	THEODORO L H, MARCANTONIO R A C, WAINWRIGHT M, et al. LASER in periodontal treatment: is it an effective treatment or science fiction?[J]. Braz Oral Res, 2021, 35(Supp 2): e099.
24	HONIGMANN P, HOFER M, HIRSCH S, et al. Cold ablation robot-guided laser osteotomy in hand, wrist and forearm surgery-a feasibility study[J]. Int J Med Robot, 2022, 18(5): e2438.
25	ALKHAYATT N M, ALZAHRANI H H, AHMED S, et al. Computer-assisted navigation in oral and maxillofacial surgery: a systematic review[J]. Saudi Dent J, 2024, 36(3): 387-394.
26	ZAWAR A, CHHABRA H S, MUNDRA A, et al. Robotics and navigation in spine surgery: a narrative review[J]. J Orthop, 2023, 44: 36-46.
27	LEE K S, JUNG S H, KIM D H, et al. Artificial intelligence- and computer-assisted navigation for shoulder surgery[J]. J Orthop Surg, 2024, 32(1): 10225536241243166.
28	EBELING M, SCHEURER M, SAKKAS A, et al. First-hand experience and result with new robot-assisted laser LeFort-I osteotomy in orthognathic surgery: a case report[J]. J Pers Med, 2023, 13(2): 287.
29	KOYACHI M, SUGAHARA K, ODAKA K, et al. Accuracy of Le Fort I osteotomy with combined computer-aided design/computer-aided manufacturing technology and mixed reality[J]. Int J Oral Maxillofac Surg, 2021, 50(6): 782-790.
30	YE G, XU X, XUE Z, et al. Reducing the risk of tooth injury in anterior maxillary interdental osteotomy for cleft lip and palate patients using a surgical navigation technique[J]. Int J Oral Maxillofac Surg, 2024, 53(5): 368-375.
31	NAUJOKAT H, ROHNEN M, LICHTENSTEIN J, et al. Computer-assisted orthognathic surgery: evaluation of mandible registration accuracy and report of the first clinical cases of navigated sagittal split ramus osteotomy[J]. Int J Oral Maxillofac Surg, 2017, 46(10): 1291-1297.
32	WU J Y, HUI W Y, NIU J D, et al. Collaborative control method and experimental research on robot-assisted craniomaxillofacial osteotomy based on the force feedback and optical navigation[J]. J Craniofac Surg, 2022, 33(7): 2011-2018.
33	孙铁成. 面部轮廓整形超声手术机器人的研发与精准性研究[D]. 北京:北京协和医学院, 2022.
	SUN T C. Research on development and accuracy of ultrasonic surgical robot for facial contouring [D]. Beijing: Peking Union Medical College, 2022.

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[5]	蔡晓阳，吕海生，谢幼专 . 早期神经松动术对微创椎间植骨融合术后根性疼痛复现的影响[J]. 上海交通大学学报（医学版）, 2017, 37(4): 510-.
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[7]	吴淑彬，丁芳宝，汤敏，等. 经食管超声心动图在婴幼儿多发性房间隔缺损经胸微创封堵术中的应用[J]. 上海交通大学学报（医学版）, 2014, 34(6): 877-.
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[10]	陆兆丰, 邱永明, 程小兵, 等. 58例横窦骑跨性硬膜外血肿的微创手术治疗[J]. , 2012, 32(8): 1075-.
[11]	肖海波, 梅举, 张辅贤, 等. 改良Nuss手术治疗复发性漏斗胸的疗效分析[J]. , 2012, 32(7): 922-.
[12]	蔡文泉, 郑志, 李涛, 等. 23-G与20-G玻璃体切割术对视网膜脱离的临床疗效分析[J]. , 2012, 32(2): 151-.
[13]	管宏新, 朱晋, 仲骏, 等. 微创治疗胸腰椎压缩性骨折的疗效分析[J]. , 2010, 30(10): 1258-.
[14]	刘建兴, 殷潇凡, 徐俊. 单轴与多轴锁定钢板微创治疗复杂性胫骨近端骨折[J]. , 2010, 30(1): 84-.

微创正颌外科的临床应用研究进展

Research progress in the clinical application of minimally invasive orthognathic surgery

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