科研之友
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摘要
Purpose: The purpose of this study was to evaluate hypoesthesia of the upper lip and bone formation using self-setting alpha-tricalcium phosphate (Biopex (R)) between the segments following Le Fort I osteotomy with bent absorbable plate fixation. %26lt;br%26gt;Subjects and methods: The subjects were 47 patients (94 sides) who underwent Le Fort I osteotomy with and without mandibular osteotomy. They were divided into a Biopex group (48 sides) and a control group (46 sides). The Biopex (R) was inserted into the anterior part of the gap between the segments in the Biopex group. Trigeminal nerve hypoesthesia at the region of the upper lip was assessed bilaterally by the trigeminal somatosensory-evoked potential (TSEP) method. The area of the Biopex at the anterior part in the maxilla was assessed immediately after surgery and 1 year postoperatively by computed tomography (Cr). %26lt;br%26gt;Results: The mean measurable period and standard deviation were 13.2 +/- 18.5 weeks in the control group, 14.5 +/- 17.9 weeks in the Biopex (R) group, and there was no significant difference in TSEP. The area of the Biopex after 1 year was significantly smaller than that immediately after surgery (right side: P = 0.0024, left side: P = 0.0001) and bone defects between the segments could not be found in the Biopex (R) group. In the control group, although the areas of bone defect after 1 year were significantly smaller than that immediately after surgery on the right side (P = 0.0133) and left side (P = 0.0469) in the frontal view, complete healing of the bone defects could be seen in 12 of 46 sides after 1 year. %26lt;br%26gt;Conclusion: This study suggested that inserting Biopex (R) in the gap between the maxillary segments was useful for new bone formation and it did not prevent the recovery of upper lip hypoesthesia after Le Fort I osteotomy with absorbable plate fixation.
- 出版日期2013-3
