采用双侧颧骨截骨降低加双侧下颌角截骨整形术矫正方脸畸形的研究  

Bilateral Zygomatic Osteotomy and Bilateral Mandibular angle Osteotomy and Plastic Surgery Were used to Correct square face Deformity

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作  者:许春鹏[1] 何莹婷 XU Chun-peng;HE Ying-ting(Siming Branch of The First Affiliated Hospital of Xiamen University,Fujian Province,361000,China;Xiamen Haicang hospital,Fujian Province,361000,China)

机构地区:[1]厦门大学附属第一医院思明院区整形美容科,福建厦门361000 [2]厦门市海沧医院妇产科,福建厦门361000

出  处:《中国医疗美容》2023年第4期2-5,共4页China Medical Cosmetology

摘  要:目的 探讨双侧颧骨截骨降低加双侧下颌角截骨整形术在方脸畸形矫正过程中的应用效果。方法 选取2018年7月~2021年4月期间于我院整形外科接受治疗的56例方脸畸形患者作为研究对象,实施双侧颧骨截骨降低加双侧下颌角截骨整形术,观察治疗效果。结果 经过手术治疗后,方脸畸形患者的左侧下颌角角度由(119.02±5.33)°提升至(129.01±5.71)°,右侧下颌角角度由(119.14±6.08)°提升至(129.25±5.92)°,下颌平面角度由(119.14±6.08)°提升至(129.25±5.92)°,双侧颧点间距由(145.73±6.85)mm降低至(130.25±6.19)mm,双侧下颌角间距由(124.08±6.39)mm降低至(110.67±5.43)mm,手术前后对比差异显著(P <0.05)。患者对于手术矫正效果的满意度为98.21%。方脸畸形患者术后的局部肿胀症状完全消退时间为(18.12±1.96)d,咀嚼功能恢复正常时间为(91.36±6.74)d,面部轮廓及曲线基本稳定时间为(93.19±7.16)d。结论 方脸畸形患者接受手术矫正治疗的过程中,实施双侧颧骨截骨降低加双侧下颌角截骨整形术,可以获得良好的手术效果,改善患者的脸部的美观度。Objective To investigate the effect of bilateral zygomatic osteotomy and bilateral mandibular angle osteotomy in the correction of square face deformity.Methods 56 patients with square face deformity treated in the plastic surgery of our hospital from July 2018 to April 2021 were selected as the research object.Bilateral zygomatic osteotomy and bilateral mandibular angle osteotomy were performed to observe the treatment effect.Results After surgical treatment,the left mandibular angle increased from(119.02±5.33)°to(129.01±5.71)°and the right mandibular angle increased from(119.14±6.08)°to(129.25±5.92)°and the mandibular plane angle increased from(119.14±6.08)°to(129.25±5.92)°and the distance between bilateral zygomatic points decreased from(145.73±6.85)mm to(130.25±6.19)mm,The distance between bilateral mandibular angles decreased from(124.08±6.39)mm to(110.67±5.43)mm.There was significant difference before and after operation(P<0.05).The satisfaction of patients with the effect of surgical correction was 98.21%.The complete regression time of local swelling symptoms in patients with square face deformity was(18.12±1.96)d,the recovery time of masticatory function was(91.36±6.74)d,and the basic stability time of facial contour and curve was(93.19±7.16)d.Conclusion In the process of surgical correction for patients with square face deformity,bilateral zygomatic osteotomy and bilateral mandibular angle osteotomy and plastic surgery can obtain good surgical effect and improve the beauty of the patient's face.

关 键 词:双侧颧骨截骨降低 双侧下颌角截骨整形术 方脸畸形 矫正 

分 类 号:R782.2[医药卫生—口腔医学]

 

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