CAJ | 학술논문

目的观察颧骨双L形截骨联合颧弓后端截骨Z形接合术,对颧骨、颧弓过高矫治的疗效与预后.方法 32例颧骨、颧弓均过高的患者,在全身麻醉下应用颧骨双L形截骨联合颧弓后端截骨Z形接合术进行矫治.术后6个月后对所有患者进行随访,观察颧骨愈合及面型变化情况并调查患者满意度.结果 32例患者截骨矫治后Ⅰ期愈合,所有患者面部消肿后颧骨、颧弓明显降低,面中份两侧颧弓间宽度明显减少.6个月后随访,骨愈合良好,所有患者均对治疗效果表示满意.结论颧骨双L形截骨联合颧弓后端截骨Z形接合术,可有效地矫治颧骨、颧弓过高,使患者面型达到一个理想的美学标准.
목적 관찰권골쌍L형절골연합권궁후단절골Z형접합술,대권골、권궁과고교치적료효여예후.방법 32례권골、권궁균과고적환자,재전신마취하응용권골쌍L형절골연합권궁후단절골Z형접합술진행교치.술후6개월후대소유환자진행수방,관찰권골유합급면형변화정황병조사환자만의도.결과 32례환자절골교치후Ⅰ기유합,소유환자면부소종후권골、권궁명현강저,면중빈량측권궁간관도명현감소.6개월후수방,골유합량호,소유환자균대치료효과표시만의.결론 권골쌍L형절골연합권궁후단절골Z형접합술,가유효지교치권골、권궁과고,사환자면형체도일개이상적미학표준.
Objective To evaluate the effect of double L-shape osteotomy combined bony Z-plasty for prominent malar complex.Methods Thirty-two patients with prominent malar complex were treated with double L shape osteotomy combined bony Z plasty for prominent malar complex.Width of lower face was observed during follow-up phase.Questionnaires were used to assess the patents' level of satisfaction at 6 months after operation.Results All wounds got primary intention healing and no severe complication in perioperative period.Postoperative appearance of all 32 cases showed that the width of middle face was efficiently reduced.All patients expressed high levels of satisfaction 6 months after operation.Conclusions Double L-shape osteotomy combined bony Z-plasty for prominent malar complex is an effective and safe method for the treatment of prominent malar complex.