面部骨性轮廓整形(颧骨颧弓、下颌角、颏)十年临床经验回顾

doi:10.3969/j.issn.1006-7795.2020.06.003

首都医科大学学报 ›› 2020, Vol. 41 ›› Issue (6): 882-886.doi: 10.3969/j.issn.1006-7795.2020.06.003

面部骨性轮廓整形(颧骨颧弓、下颌角、颏)十年临床经验回顾

汪济广^1,2*, 李沛霖¹

1.首都医科大学附属北京世纪坛医院整形外科, 北京 100038;
2.首都医科大学附属北京世纪坛医院中心实验室, 北京 100038

收稿日期:2020-08-20 出版日期:2020-12-21 发布日期:2021-01-18
基金资助:
国家自然科学基金(81471798), 首都医科大学附属北京世纪坛医院中心实验室建设经费(2019-JS04)。

Ten-year experience in facial bone contouring plasty

Wang Jiguang^1,2*, Li Peilin¹

1. Department of Plastic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
2. Department of Central Laboratory, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China

Received:2020-08-20 Online:2020-12-21 Published:2021-01-18
Contact: * E-mail: 528576028@qq.com
Supported by:
National Natural Science Foundation of China(81471798), Enhancement Funding of Laboratory of Center, Beijing Shijitan Hospital,Capital Medical University (2019-JS04).

摘要/Abstract

摘要： 目的回顾总结笔者颅颌面美容团队十年中面部骨性轮廓整形手术的经验。方法对750例下颌角肥大行弧形截骨术,对141例颧骨颧弓肥大行I型或L型截骨同时辅以颞面部软组织提升术,对117例颏部形态异常行颏水平截骨前移或颏水平截骨加高/缩短/左右移动综合手术。结果所有1 008例手术患者面型均得到明显改善,并有不同程度面部年轻化表现。其中面神经颞支暂时性损伤3例,大出血1例,感染2例,颏神经损伤2例,均得到有效处理恢复。结论恰当的面部骨性轮廓(颧骨颧弓下颌角颏)手术术式设计,良好的技术操作可以使面部轮廓外形得到显著改善,并有不同程度面部年轻化的效果。

关键词: 颧骨整形, 下颌角整形, 颏整形

Abstract: Objective To review ten-year experiences in facial bone contouring plasty by our craniofacial team. Methods During ten-year clinical practice, we have performed 750 cases of mandibular contouring surgery, 141 cases of reduction malarplasty with type I or type L osteotomy combined with temple-facial soft tissue lifting, and 117 cases of different type genioplasty. Results All 1 008 individuals underwent surgery of facial bone contouring plasty have got prominent improvement in facial bone contour. As for complications, 3 cases with temporary injury to temporal branch of facial nerve were found in reduction malarplasty, 1 case with massive haemorrhage in mandibular contouring surgery, and 2 cases with infections in mandibular contouring surgery, and 2 cases with mental nerve damages. All complications were recovered after effective treatment. Conclusion Facial bone contouring plasty with reasonable surgery procedures and skillful technical operation may significantly improve patients facial bone contour appearance.

Key words: malarplasty, mandibular contouring surgery, genioplasty

中图分类号:

R782.2

汪济广, 李沛霖. 面部骨性轮廓整形(颧骨颧弓、下颌角、颏)十年临床经验回顾[J]. 首都医科大学学报, 2020, 41(6): 882-886.

Wang Jiguang, Li Peilin. Ten-year experience in facial bone contouring plasty[J]. Journal of Capital Medical University, 2020, 41(6): 882-886.

面部骨性轮廓整形(颧骨颧弓、下颌角、颏)十年临床经验回顾

Ten-year experience in facial bone contouring plasty

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