中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2014年
6期
425-428
,共4页
王勇%柳大烈%艾玉峰%河东镐%潘卫峰%刘欢%黄威%张平%文婷
王勇%柳大烈%艾玉峰%河東鎬%潘衛峰%劉歡%黃威%張平%文婷
왕용%류대렬%애옥봉%하동호%반위봉%류환%황위%장평%문정
下颌角缩小术%截骨%下面部
下頜角縮小術%截骨%下麵部
하합각축소술%절골%하면부
Mandibular angle reduction%Osteotomy%Lower face
目的 在下面部骨性轮廓改形的手术中,寻找下颌骨最佳截骨部位以获得更好的手术效果.方法 对382例女性受术者,经口内入路,在气管插管全身麻醉下,利用电动往复锯片的弹性,原位调整锯片切入骨质的角度,一次性整体截除下颌骨升支下部、下颌角、下颌骨外板、下颌骨体下缘及部分颏骨,将残端磨削平滑圆润,线条流畅.结果 早期为追求下颌角最大程度地截骨缩小下面部,致出现俗称“马脸”变形、第2下颌角,8例均是由于早期手术对下颌骨体及下缘、下颏处理不到位.术后随访101例,医患双方对效果非常满意61例,满意22例,基本满意11例,不满意5例,差2例.结论 下面部骨性缩小的3个关键点是下颌角后份、下颌骨体中份和颏骨前份.
目的 在下麵部骨性輪廓改形的手術中,尋找下頜骨最佳截骨部位以穫得更好的手術效果.方法 對382例女性受術者,經口內入路,在氣管插管全身痳醉下,利用電動往複鋸片的彈性,原位調整鋸片切入骨質的角度,一次性整體截除下頜骨升支下部、下頜角、下頜骨外闆、下頜骨體下緣及部分頦骨,將殘耑磨削平滑圓潤,線條流暢.結果 早期為追求下頜角最大程度地截骨縮小下麵部,緻齣現俗稱“馬臉”變形、第2下頜角,8例均是由于早期手術對下頜骨體及下緣、下頦處理不到位.術後隨訪101例,醫患雙方對效果非常滿意61例,滿意22例,基本滿意11例,不滿意5例,差2例.結論 下麵部骨性縮小的3箇關鍵點是下頜角後份、下頜骨體中份和頦骨前份.
목적 재하면부골성륜곽개형적수술중,심조하합골최가절골부위이획득경호적수술효과.방법 대382례녀성수술자,경구내입로,재기관삽관전신마취하,이용전동왕복거편적탄성,원위조정거편절입골질적각도,일차성정체절제하합골승지하부、하합각、하합골외판、하합골체하연급부분해골,장잔단마삭평활원윤,선조류창.결과 조기위추구하합각최대정도지절골축소하면부,치출현속칭“마검”변형、제2하합각,8례균시유우조기수술대하합골체급하연、하해처리불도위.술후수방101례,의환쌍방대효과비상만의61례,만의22례,기본만의11례,불만의5례,차2례.결론 하면부골성축소적3개관건점시하합각후빈、하합골체중빈화해골전빈.
Objective To find out the best osteotomy site in the surgery of lower facial skeletal diminution to achieve a better surgical effect.Methods A total of 382 female patients after endotracheal intubation for general anesthesia were treated through an intraoral approach,utilizing the elasticity of electric reciprocating saw blade and by adjusting in situ cut angle of the saw blade into the sclerotin,with one time integral resection of lower part of the ascending ramus of the mandible,complete mandibular angle,mandibular outer cortex,complete sclerotin at lower edge of the mandibular body and part of the mandible,in particular,lower edge at both sides of the mandible must be treated in place,which had great significance in reducing width of the anterior body of the lower face,the residual side was ground smooth and round with smooth lines.Results In the early time,there were often consequences commonly called as "horse face" and mandibular incisure fracture due to pursuing the maximum diminution of lower face by mandibular osteotomy,8 cases of repair surgeries were all the early improper treatment of mandible,mandibular inferior border and chin,but the more recent effect was better,and it was noted that it was not good for lower facial skeletal diminution to saw off more bones at one site.Conclusions Three key points of lower facial skeletal diminution are posterior mandibular angle,middle mandible body and anterior chin.
