颧骨颧弓整形术后并发症的再次手术修复  

Treatment of Complications after Zygomatic Zygomaticomandibular Plastic Surgery and Remediation with Reoperation

作　　者：黄锦华[1] 杨旭东[2] 张强[1] 孟志兵[1] 常财旺[1] 卞洁[1] 郭军[1] 

机构地区：[1]扬州市第一人民医院口腔颌面外科,江苏省扬州市225001 [2]南京大学医学院附属口腔医院口腔颌面外科,江苏省南京市210008

出　　处：《组织工程与重建外科杂志》2016年第3期180-182,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨针对颧骨颧弓整形术后并发症的再次手术修复方案及其临床效果。方法自2007年10月至2014年08月,共收治颧骨颧弓整形并发症患者23例,均接受再次手术修复,其中单纯行颧骨颧弓修复术患者5例,另外18例患者同期行SMAS上提术,观察并评估其疗效。结果全部23例患者,切口均Ⅰ期愈合。1例患者术后单侧额纹消失,经神经营养治疗3周后完全恢复。术后评价23例均为满意。术后随访0.5~5年,颧骨颧弓外形满意。结论颧骨颧弓整形并发症患者经再次手术修复后可取得良好效果。Objective To explore the reoperation methods and clinical effects for treating complications after zygomatic zygomaticomandibular plastic surgery. Methods From October 2007 to August 2014, 23 cases suffered from complications after zygomatic zygomaticomandibular plastic surgery were re-operated, 5 cases received zygomatic zygomaticomandibular plastic surgery only, while other 18 cases received zygomatic zygomaticomandibular plastic surgery combining SMAS lifting plasty. The clinical effects were observed and evaluated. Results All 23 cases obtained incision primary healing. Unilateral pattern loss was observed in 1 case, and completely recovered after nerve nutrition therapy for 3 weeks. According to clinical evaluation, all 23 patients received satisfactory results. All patients were followed up for 6 months to 5 years, satisfactory zygomatic zygomaticomandibular appearance was obtained. Conclusion Good results of reoperation for treating complications after zygomatic zygomaticomandibular plastic surgery can be achieved.

关 键 词：颧骨颧弓整形术 并发症 再次手术 

分 类 号：R622[医药卫生—整形外科]