口外小切口双环形缝扎隆颏术的临床应用  

Clinical application of chin augmentation through extraoral small incision using double circular suture

作　　者：冯垚[1] 齐向东[2] 

机构地区：[1]南方医科大学,广东广州510515 [2]广州军区总医院整形外科,广东广州510010

出　　处：《中国美容医学》2015年第19期12-14,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：探求一种使用缝线通过口外小切口简单快速行隆颏手术的新方法。方法：根据颏部解剖特点,采用口外正中线上两处横行小切口,切口定位于颏唇沟点及颏下方,长2～3mm,切开皮肤及皮下后,使用1-0的丝线及弯形导引针,将线的一头由颏上切口顺时针环形穿出颏下切口,再由颏下切口顺时针环形穿出颏上切口,将线的另一头由颏上切口逆时针环形穿出颏下切口,再由颏下切口逆时针环形穿出颏上切口,两线头打结。结果：笔者采用该方法隆颏20例,术后切口均一期愈合,外形满意,术后未出现明显并发症,随访12个月,均获得满意效果。结论：采用口外小切口双环形缝扎隆颏术是一种简便、安全、有效的纠正小颏畸形的手术方法。Objective To explore a new method of chin augmentation through extraoral small incision using suture simple and fast. Methods According to the peculiarity of mental anatomise,two small transverse incisions were used in the para-oral middle line,which was about 2-3mm long,located in the mentolabial sulcus and submentum.When the skin and subcutaneous tissue was cut,silk thread （size 1-0）and bending guide needle were required.One side of the thread was passed through clock-wise at first from the supramental incision to the submentum one,and then from the submentum to the supramental incision.On the contrary,the other side of the thread was passed through anticlockwise at firse from the supramental incision to the submentum one,and then from the submentum to the supramental incision.Finally,knots the two sides of the thread. Results 20 cases of patients were in progress of chin augmentation,all the incisions were healed one-stage,all the patients were satisfied with the physical form without any complications.With 12 months followed-up,each operation resulted in satisfactory chin. Conclusion Clinical application of chin augmentation through extraoral small incision using double circular suture is a safe,effective and convenient method for treating the microgenia.

关 键 词：颏部 小颏畸形 口外小切口 双环形缝扎 隆颏术 

分 类 号：R622[医药卫生—整形外科]