耳前小切口在颧弓宽大整形术中的应用价值  

Reduction anaplasty of zygomatic arch through a minor pre-auricular incision

作　　者：项昌峰 鲍海萍 顾飚 Xiang Changfeng;Bao Haiping;Gu Biao(Department of Plastis Surgery,Hangzhou Jiahe Medical Beauty Hospital,Hangzhou 310000,China)

机构地区：[1]杭州珈禾医疗美容医院整形外科,310000

出　　处：《中华医学美学美容杂志》2018年第4期227-230,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨耳前小切口入路行颧弓宽大骨整形术的临床应用价值。方法回顾性分析2012年1月至2016年10月杭州珈禾医疗美容医院整形外科采用耳前小切口颧弓降低整形术治疗的颧弓宽大美容就医者89例资料。手术经耳前小切口，于颞下颌关节前5cm颧弓最狭窄处完全截断颧弓，于颧骨和颧弓交界处使用骨钻制作青枝骨折，下压并调整颧弓至合适位置。颧弓2个断端在颧弓下压后保持部分接触，依靠其自然接触维持连接，不使用钛板钛钉固定。对于颧骨体轻度凸出者，可用磨钻磨削至合适高度。术后随访3个月至5年。结果89例美容就医者治疗效果满意，无明显严重并发症，面部组织无明显下垂。1例美容就医者术后左侧出现术区麻木，2个月后自行恢复。结论经耳前小切口人路行颧弓降低术是颧弓宽大的一种简单、安全、有效的整形方法，可避免面中部组织下垂。Objective To explore the clinical application of reduction anaplasty trough a minor pre-auricular incision. Methods A retrospective analysis of 89 patients with wide zygomatic arch treated with reduction anaplasty through pre-auricular incision from 2012 to 2016 in our hospital had been studied. Through a short incision in front of ear, zygomatic arch at the most narrow part, located about 5 cm in front of temporomandibular joint, was completely transected, whereas the junction of malar and zygomatic bone was drilled to make a greenstick fracture. No dissection of zygomatic ligament was perforemed. The dissected zygomatic arch was then pressed down and adjusted into a appropriate position. In the case of the protrusion of zygomatic body, the protrusion part could be reducted using grinding ablation. Results All the patients were followed up for 3 months to 5 years. The results were satisfactory, no serious complications were found, and the facial tissue did not show obvious ptosis. Postoperative numbness occurred on the left side in one patient and recovered spontaneously after two months. Conclusions Reduction anaplasty trough a minor pre-auricular incision is a simple, safe and effective approach for wide zygomatie arch, which could avoid facial tissue ptosis.

关 键 词：颧弓降低 耳前切口 颧弓韧带 青枝骨折 面部下垂 

分 类 号：R622[医药卫生—整形外科]