自行设计的长厚颏部硅橡胶假体矫治严重小颏畸形的疗效  

Efficacy of self-disigned long-thick silicone prothesis on severe microgenia

作　　者：薛斌[1] 赵作钧[1] 陆尤[1] 王秀艳[1] 

机构地区：[1]煤炭总医院整形美容科,河北联合大学,北京100028

出　　处：《中华医学美学美容杂志》2013年第1期18-20,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨自行设计的长厚颏部硅橡胶假体矫治严重小颏畸形的疗效。方法用三脚平行规测量所需似体的跨度、高度和厚度，根据测量结果设计所需的长厚硅橡胶假体，高温消毒后备用。手术在局部浸润麻醉下进行，经下唇龈沟切口置入严重小颏畸形患者的颏部。术后3、12个月随访时用数码相机拍摄面部正、侧位像，用以观察颏部高度的变化。结果共矫治严重的小颏畸形20例，切口均Ⅰ期愈合，无感染、无排斥反应等发生。术后颏部形态均得到明显改善，符合美学标准。1例早期发现假体略硅歪斜，于术后3个月再次手术矫治。随访12个月，置入的假体位置稳固．颏部高度没有明显变化。所有患者对颏部的形态都很满意。结论应用自行设计的长厚颏部硅橡胶假体矫治严重小颏畸形，方法简单、创伤小、费用低、美容效果明显。Objective To evaluate the efficacy of self-disigned long-thick silicone prothesis in the treatment of severe microgenia. Methods A long-thick silicone prothesis was designed according to the measurement results gained by a coordinate caliper. The designed long-thick silicone prothesis was sterilized by uperization. The procedure commenced under local anesthesia for all patients. The prothesis was placed through an intraoral incision. The digital photographs were taken at the pretreat ment visits and 3 months and 12 months after treatment follow up to observe the change of the chin projection. Results 20 cases of severe mierogenia were treated with this technique. All wounds healed primarily. There was no infection, extrusion and rejective reaction. The profiles of chins were im-proved obviously and reached aesthetic standard. Only one implant required adjustment 3 months after first operation because of displacement. After were satisfied. Locations of silicone prothesis 12 months follow-up the reshaping contour of the chins were stable. No differences of the chin projection were observed. All patients were satisfied with their cosmetic results. Conclusions hnplanting long-thick silicone prothesis to correct severe microgenia is safe, effective, simply, cheap and less invasive.

关 键 词：小颏畸形 硅橡胶假体 

分 类 号：R622[医药卫生—整形外科]