颧骨颧弓降低术的手术设计及临床应用  

Surgical design and clinical application of reduction malarplasty

作　　者：张菊 陈贵征 罗恩[1] Zhang Ju;Chen Guizheng;Luo En(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Department of Orthognathic and Temporomandibular Joint Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院正颌及关节外科,成都610041

出　　处：《中华整形外科杂志》2023年第4期435-441,共7页Chinese Journal of Plastic Surgery

基　　金：国家自然科学基金(81970917);四川省重点研发项目(2022YFS0038);成都市科技局项目(2021-YF05-01627-SN)。

摘　　要：颧骨颧弓降低术是临床上最常用的面部轮廓整形术之一,常与下颌角整形术、颏成形术联合应用,使整个面部轮廓曲线更加柔和、面形更加美观。目前常用的颧骨颧弓降低术术式有I形切骨术、L形切骨术、颧弓切骨术以及由这几种基本切骨方式演变出来的多种多样的术式。这些演变术式的出现都是为了在降低颧弓颧骨复合体的同时使面部轮廓更协调更美观,每种术式都有其优缺点和适用范围。该文将从颧骨颧弓复合体的突出类型、颧骨颧弓降低术的手术入路、术式分类及临床应用作系统论述。Reduction malarplasty is one of the most common facial profile plastic surgery techniques,which always operates accompanying with mandibular angloplasty and genioplasty to demonstrate gentle facial contour curve and aesthetic appearance.There are various kinds of surgical method of reduction malarplasty,such as I-shaped osteotomy,L-shaped osteotomy,zygomatic arch osteotomy and other modifications.These modified procedures are developed to reduce the zygomatic complex and make the facial contour harmonious and beautiful simultaneously,and each of these has its own advantages and indications.The purpose of this review is to introduce the protrusion types of zygomatic arch complex,surgical approaches,surgical method classifications,and clinical applications of reduction malarplasty.

关 键 词：外科 整形 颧骨颧弓降低术 I形切骨术 L形切骨术 颧骨颧弓复合体 临床应用 

分 类 号：R782.2[医药卫生—口腔医学]