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面部轮廓整形新进展-- 下颌角 及 颧弓 的微创无痕整形

发表者:徐海淞 2355人已读

仁济医院倡导 安全 健康的 科学整形美容

 

作者 杨君毅,徐海淞,穆雄铮

目的:回顾性总结了近20年来颧弓缩窄和下颌角截骨技术的演变及改进,通过比较各种手术方法,探索一套相对安全、有效、易操作的面部廓整形技术。

上海交通大学医学院附属第九人民医院整复外科徐海淞

方法:自1988年5月至2008年11月,对585例患者行颧弓缩窄术和下颌角截骨手术。早期采用文献报道的多种方法对颧弓及下颌角行截骨整形;2002年改进了截骨方法后,采用楔形截颧骨法及斜形全厚下颌角和下颌下缘截骨法行面部轮廓整形,取得了较满意的疗效。口内切口的颧骨复合体楔形截骨联合耳前颧弓不完全骨折截骨后,可将颧弓向内、向前移位,以达到缩窄中面部的目的;近期多采用口内入路的下颌角和下颌下缘的斜形全厚截骨,于下颌角截骨时,保持去除下颌角和下颌下缘的外板大于内板,使得术后面中下部轮廓较完美。并总结了各类方法的手术指证、主要并发症、患者的满意度等,比较改进后的楔形截颧骨法及斜形全厚下颌角和下颌下缘截骨法较之常规术式在面部轮廓整形中的优缺点。

结果: 口内切口入路在颧骨和下颌角整形中有明显的优势。楔形截颧骨法较常规的更有效、可靠。本组患者有一半以上的同时接受了斜形下颌角和下颌下缘的截骨整形,而且疗效良好及术后并发症发生率较低。

结论: 楔形截颧骨法及斜形全厚下颌角和下颌下缘截骨法的面部改形手术,是相对安全、有效且易掌握的面部轮廓整形术式

关键词:方形脸;颧骨缩小术;下颌骨塑形;面部轮廓整形

 

Experience in Oriental Facial Recontouring: Reduction  Malarplasty and Mandibular Reshaping

YANG Jun-yi, XU Hai-song, MU Xiong-zheng.

ABSTRACT Objective: To reviewed facial contouring surgery both malarplasty and mandible reshaping to establish optional, effective, and reliable surgical protocals.

Methods: Several ideal techniques either zygoma arch reduction or mandible angle reduction have been employed since 2002. We applied wedge-section osteotomy in reduction of zygomatic arch and inclined-fullness osteotomy in reduction of mandibular angle and margin in recent cases. Osteotomies were selected according to personal experience and deal setting communicated with patients. In middle face, the wedge-section zygoma osteotomy was undergone in the lower zygomatic body via intraoral approach and greenstick fracture of the posterior zygomatic arch through a tiny anterio-auricular incision. While in lower face, inclined-fullness osteotomy in mandibular angle and margin was used to reshape the contouring appearance.

Results: 585 cases was reviewed in this study. Intraoral incision was dominant access in both osteotomies. Wedge-section zygoma osteotomy was more effective and reliable as compared with other conventional methods. More than half of the cases in mandibular reshaping have been operated included both reduction of mandibular angle and shaving of mandibular margin with good results and less complications.

Conclusion: Intraoral zygoma reduction and/or mandibular reshaping are selected as common procedures to deal with the oriental facial contouring surgery.

 

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发表于:2010-11-12 15:46

患者评价
  • 默认头像
    甜***露 2016-05-20

    那颧骨还是做半折断吗?

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