口内小切口入路下颌角肥大整形术的临床研究  

Prominent mandibular angle plastic surgery by intraoral small incisions approach

作　　者：徐建国[1] 张敬德[1] 邢新[1] 徐苗[1] 徐达圆[1] 

机构地区：[1]第二军医大学第一附属医院整形外科,上海200433

出　　处：《中国美容整形外科杂志》2013年第7期419-421,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨口内小切口入路结合电动磨骨器械治疗下颌角肥大的临床疗效。方法自2010年8月至2012年7月，对32例面下部宽大的求美者行下颌角肥大整形术。于双侧下颌第二前磨牙对应颊龈沟位置向内做约1cm切口，骨膜下剥离后对双侧下颌角、下颌体行长弧形磨骨。结果所有求美者的术区均愈合良好，无切口裂开、血肿等现象发生。随访21例求美者4—12个月，面下部轮廓明显变窄、缩小，下颌缘曲线平滑规整，下颌角切迹消失，面部形态满意，面部瘢痕不明显，无面神经损伤等并发症发生。结论经口内小切口人路结合电动磨骨器械治疗下颌角肥大，是一种能够有效改善面部轮廓的微创方法，操作简便，且能保留下颌骨生物力学功能和颏部的解剖形态。Objective To discuss the methods of mandibular angle plastic surgery by intraoral small in- cision approach with electric grinding bone equipment. Methods With the bilateral about 1 cm length incision beside the buccal gingiva ditch behind mandibular second premolar, we implemented grounding process at the bilateral mandibular bone after subperiosteal stripping. Totally 32 cases were performed the operation mentioned above from August 2010 to July 2012. Results All patients had a well appearance with fine healing, and without rupure of incision and hematoncus. With 4-12 months following-up, we found that the face outline were reshaped well, mandibular margin were flat and smooth, no scar left in face and no facial nurve injury or other compications. Conclusion The methods of mandibular angle plastic surgery by intraoral small incision approach with electric grinding bone equipment, which could keep the biomechanics function of mandible and anatomy morphology of chin area, is an ideal minimally invasive technique to reshape facial contour.

关 键 词：口内入路 下颌骨 微创技术 

分 类 号：R622[医药卫生—整形外科]