颧骨L形截骨扩展术矫正颧骨过小畸形  

The L-shaped zygomatic osteotomy for correction of malar-zygomatic deficiency

作　　者：尹琳[1] 刘剑锋[1] 牛峰[1] 俞冰[1] 唐晓军[1] 马静[1] 胡金天[1] 王梦[1] 陈莹[1] 归来[1] 

机构地区：[1]中国医学科学院北京协和医学院整形外科医院颅颌面一科,北京100144

出　　处：《中国美容医学》2009年第3期313-315,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨一种口内入路矫正颧骨过小畸形的新方法。方法:2000年4月～2007年12月,对28例半侧颜面短小畸形患者的颧骨过小畸形,采用口内入路颧骨L形截骨扩展术进行整复治疗,扩展间隙中植入自体骨或珊瑚人工骨。结果:28例患者术后随访3月～5年,重塑的颧骨颧弓形态自然,突度和宽度得到明显改善,术后效果满意。结论:颧骨L形截骨扩展术设计合理,并发症少,为整复颧骨过小畸形提供了一条新的途径。Objective To explore a new method for correction of malar-zygomatic deficiency through an intraoral incision. Methods From Apr.2000 to Dec.2007,28 L-shaped zygomatic osteotomies have been performed through an intraoral incision. The external rotation was stabilized with interposed coral graft or bone graft. Results During 3 months to 5 years of follow-up, all the 28 cases deformities of malar-zygomatic deficiency were corrected. The method remodeled a natural cheek bone contour. The width and the projection of malar-zygomatic complex were increased. All patients obtained good results. Conclusion The L-shaped zygomatic osteotomy is a new and expedient technique for correction of malar-zygomatic deficiency with low complication.

关 键 词：颧骨 颧骨截骨 扩展 半侧颜面短小 

分 类 号：R782.2[医药卫生—口腔医学]