首都医科大学学报 ›› 2020, Vol. 41 ›› Issue (6): 891-895.doi: 10.3969/j.issn.1006-7795.2020.06.005

• 整形美容基础与临床 • 上一篇    下一篇

下颌角弧形截骨导向器在内收型下颌角截骨中的应用

尹宏宇1*, 王川2, 崔磊1,3, 张智勇4, 唐晓军4, 李秉航4, 冯时4   

  1. 1.首都医科大学附属北京世纪坛医院整形美容外科 ,北京 100038;
    2.清华大学附属北京清华长庚医院整形外科, 北京 102218;
    3.首都医科大学附属北京世纪坛医院中心实验室,北京 100038;
    4.中国医学科学院整形外科医院颌面整形外科中心, 北京 100144
  • 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:
    中国医学科学院整形外科医院科学基金(5201010404),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)。

Application of mandibular angle arc osteotomy guider in arc osteotomy of the introversion mandibular angle

Yin Hongyu1*, Wang Chuan2, Cui Lei1,3, Zhang Zhiyong4, Tang Xiaojun4, Li Binghang4, Feng Shi4   

  1. 1. Department of Plastic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
    2. Department of Plastic Surgery, Beijing Tsinghua Changgeng Hospital of Tsinghua University, Beijing 102218, China;
    3. Department of Central Laboratory, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
    4. Department of Maxillofacial Surgery, Plastic Surgery Hospital of Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China
  • Received:2020-08-20 Online:2020-12-21 Published:2021-01-18
  • Contact: * E-mail:yinhongyu3647@bjsjth.cn
  • Supported by:
    Scientific Foundation of Plastic Surgery Hospital of Chinese Academy of Medical Sciences (5201010404), Enhancement Funding of Laboratory of Center, Beijing Shijitan Hospital, Capital Medical University (2019-JS04).

摘要: 目的 探讨经口内入路使用下颌角弧形截骨导向器在内收型下颌角截骨整形术中的疗效及安全性。方法 自2015年8月至2017年8月,对21例内收型下颌角肥大患者实施导向器辅助弧形截骨。结果 术后随访6个月至2年,除2例自觉改善不明显外,其余患者对下面部轮廓改善均满意。所有患者无术后感染、面动脉断裂、下颌骨骨折和下牙槽神经损伤等合并症发生。结论 下颌角弧形截骨导向器可更安全有效地控制截骨线,降低严重手术合并症的发生率,提高患者的满意度。

关键词: 下颌角弧形截骨导向器, 内收型下颌角肥大, 截骨

Abstract: Objective To explore the efficacy and safety of the mandibular angle arc osteotomy guider in osteotomy of the introversion mandible via the intraoral approach. Methods From August 2015 to August 2017, 21 patients with prominent introversion mandible angle underwent arc osteotomy by guider. Results During follow-up from 6 months to 2 years,there were 2 patients without obvious improvements.Other patients were satisfied with the improvement of the lower facial contour. No complications occurred, including postoperative infection, facial artery rupture, mandible fracture, and inferior alveolar nerve injure. Conclusion A mandibular angle arc osteotomy guider can control osteotomy lines safely and effectively, reduce the incidence of severe surgical complications and increase patients' satisfaction.

Key words: mandibular angle arc osteotomy guider, prominent introversion mandibular angle, osteotomy

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