不对称性下颌角肥大的手术治疗

华西口腔医学杂志

不对称性下颌角肥大的手术治疗

黄绿萍1,归　来2,张智勇2,滕　利2,牛　峰2

1.海南省人民医院　整形美容外科,海南　海口570311; 2.中国医学科学院中国协和医科大学整形外科医院　颅颌面外科,北京100041

收稿日期:2004-02-25 修回日期:2004-02-25 出版日期:2004-02-20 发布日期:2004-02-20
通讯作者: 黄绿萍,Tel:13006002575
作者简介:黄绿萍(1973-),女,江西人,主治医师,博士

Treatment of the Asymmetric Prominent Mandibular Angle

HUANGLü-ping1,GUILai2,ZHANG Zhi-yong2,TENGLi2, NIUFeng2

1.Dept.ofPlastic Surgery,HainanProvincialPeople’sHospital,Haikou570311,China;2.Plastic SurgeryHospi- tal,Chinese Academy ofMedical Sciences,Beijing100041,China

Received:2004-02-25 Revised:2004-02-25 Online:2004-02-20 Published:2004-02-20

摘要/Abstract

摘要：

目的　探讨不对称性下颌角肥大的原因及手术治疗。方法　采用下颌角弧形截骨术、下颌骨外板截骨术、颏成形术及颊脂垫取出术等方法,治疗不对称性下颌角肥大患者70例。结果　70例患者术后面部对称性均明显改善。70例患者中仅3例出现并发症,包括术后出血、口唇拉伤增生性瘢痕及术后感染等。结论　治疗不对称性下颌角肥大应根据畸形的特点,选择性应用下颌角弧形截骨术、下颌骨外板截骨术、颏成形术及颊脂垫取出术等方法,其效果良好。

关键词: 下颌角肥大, 下颌角弧形截骨术, 下颌骨外板截骨术, 颏成形术, 颊脂垫取出术

Abstract:

Objective　To investigate the causes and treatment of the asymmetric prominent mandibular angle.Methods　 From 1996 to 2001, mandibular angle osteotomy, mandibular outer cortex osteotomy, mandible,genioplasty and buccal pad exci- sion were selected to treat 70 patients.Results　All the patients had satisfactory results with complications of bleeding, infection and labial scar in three patients.Conclusion　asymmetric prominent mandibular angle should be treated according to the charac- teristics of the deformity. Mandibular angle osteotomy, osteotomy of outer cortex of the mandible, genioplasty and bucal pad exci- sion can provide satisfactory result.

Key words: prominentmandibular angle, osteotomy of the mandibular angle, osteotomy of the outer cortex of mandible, genioplasty, buccal pad excision

黄绿萍,归来,张智勇,滕利,牛峰. 不对称性下颌角肥大的手术治疗[J]. 华西口腔医学杂志.

HUANGLü-ping1,GUILai2,ZHANG Zhi-yong2,TENGLi2, NIUFeng2. Treatment of the Asymmetric Prominent Mandibular Angle[J]. West China Journal of Stomatology.