口内外联合入路小切口下颌角肥大弧形截骨术  

Curved-osteotomy for prominent mandibular angle through intra-and extra-oral approach with a small incision

作　　者：张菊芳[1] 张如鸿[2] 王毅敏[2] 穆雄铮[2] 

机构地区：[1]杭州整形医院,310014 [2]上海市第九人民医院整形外科

出　　处：《中华医学美学美容杂志》2002年第3期133-136,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探索一种简便、安全、有效的下颌角肥大截骨术。方法　通过小切口经口内外联合入路对下颌角肥大患者行下颌角肥大弧形截骨整复术共 2 0例。其中对咬肌肥大者同时行部分咬肌削薄术 5例 ,对脸颊过度丰满者行颊脂垫部分去除术 3例 ,伴小颌畸形者行颏成形术 3例 ,单纯下颌角肥大弧形截骨术 9例。结果　对 2 0例行弧形截骨整复术患者随访 6个月至 6年 ,满意率达 95 %。结论　口内外联合入路的小切口下颌角肥大弧形截骨整复术 ,操作简易 ,截骨方便 ,易控制截骨量 ,并发症少 ,恢复快 ,易于推广。Objective To study a simple, safe and effective way in correction of prominent mandibular angle. Methods Curved osteotomy was employed for prominent mandibular angle through intra and extra oral approach with a small incision in 20 cases.Partial masseter resection was performed simutaneously in 5 cases with masseter hypertrophy, buccal fat pads were resected in 3 cases with broad faces, and genioplasty were performed in 3 cases with micrognathia. Nine cases only suffering from prominent mandibular angle were underwent curved osteotomy reconstruction. Results A series of 20 cases was followed up from six months to six years, in which 95 % was satisfactory.Conclusion The advantages of this method are simple, safe and symmetric with better result. It is easy to dissect under periosteum and perform curved osteotomy with less complication, quick recovery, and better contouring.

关 键 词：口内外联合入路 下颌角肥大 下颌修复术 下颌角肥大截骨术 手术入路 手术方法 

分 类 号：R622[医药卫生—整形外科]