下颌骨分区截骨术重塑面下部轮廓  

Subarea ostectomy of mandible for lower face re-shaping

作　　者：谢卫国[1] 方震[1] 李长根[1] 麦笑珍[1] 魏玉娥 

机构地区：[1]暨南大学第二临床医学院深圳市人民医院整形外科,深圳 518020

出　　处：《中华整形外科杂志》2007年第3期218-220,共3页Chinese Journal of Plastic Surgery

摘　　要：目的将下颌骨以美学观为准分为升支下区、下领角区、下颌体区、颏区。通过分区截骨术，矫正面下部前份、中份、后份宽大的不良形态。方法结合下颌骨外板矢状劈开和下颌骨角部和下颌骨下缘的全层截骨术和隆颏术，对下颌骨角部、体部和颏部进行分别截骨重塑，同时矫正面下部正面和侧面的欠美外形。结果于2003年5月至2005年8月，共开展此类手术23例，下颌角、升支下部、体部截骨18例，颏部截骨5例。隆颏术的方式有固体硅胶假体置入12例，膨化聚四氟乙烯假体置入3例，自体下颌骨外板移植5例。术后外形均得到明显改善，外观满意，未发生颏神经断裂并发症，3例口唇麻木于1～3个月后自然恢复。结论对下颌骨进行分区截骨可以更全面的矫正面下部过宽，重塑面下部的轮廓以美化面型。Objective Dividing the mandible into lower part of mandibular ramus, mandibular angle, mandibular body, chin, we designed subarea ostectomy for reduce the width of anterior, body, posterior part of of the lower face. Methods Combide with splitting ostectomy of the out layer of mandible, ostectomy of inferior border of mandible and augementation of the chin, re-shape the mandibular angle, body, and chin, corrected the un-beauty of the lower face and side-face. Results From May 2003 to August 2005 , a total of twenty-three patients have been operated on by this method with satisfactory results. Conclusions Subarea ostectomy of mandible is more effective in re-shaping the whole lower face.

关 键 词：颅颌面外科 下颌骨 截骨术 

分 类 号：R686[医药卫生—骨科学]