CAJ | 학술논문

目的探讨通过手术方法改善部分高颧骨者面部外观效果,以及更持久有效的手术方式.方法对80例高颧骨者施行口内及耳前切口颧骨颧弓缩小术联合面中份浅表肌腱膜系统(SMAS)上提术,纠正其高颧骨及预防颧颊部软组织松垂.结果 80例术后随访6个月以上,术后面部轮廓及松弛度改善满意.其中1例术后出现上颌窦炎,经对症治疗后痊愈.结论加固颧骨颧弓缩小及面中份SMAS上提术,对高颧弓者面部轮廓改善效果良好、安全可靠.
목적 탐토통과수술방법개선부분고권골자면부외관효과,이급경지구유효적수술방식.방법 대80례고권골자시행구내급이전절구권골권궁축소술연합면중빈천표기건막계통(SMAS)상제술,규정기고권골급예방권협부연조직송수.결과 80례술후수방6개월이상,술후면부륜곽급송이도개선만의.기중1례술후출현상합두염,경대증치료후전유.결론 가고권골권궁축소급면중빈SMAS상제술,대고권궁자면부륜곽개선효과량호、안전가고.
Objective To observe the surgical results of prominent malar-complex and to explore the more effective methods by improving the shape of face through operation.Methods Total 80 patients of prominent malar-complex were treated by strengthening reduction plasty of mala and zygoma through intra-oral approach accompanied with minor pre-auricular incision and the midfacial SMAS lift in order to improve the shape of prominent malar-complex and to prevent malar-cheek parenchyma sag.Results The face skeleton and midfacial chalasis of all patients were significantly improved with satisfaction.All the patients obtained good results during the follow-up period of over six months.Of them there was one case of maxillary sinusitis that had been cured by further symptomatic treatment.Conclusions Strengthening reduction plasty of mala and zygoma accompanied with the midfacialSMAS lift can properly and safely improve the facial shape of patients with prominent malar-complex.