华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

方脸综合改形术

夏德林,归来,张智勇,金骥,牛峰,罗金超   

  1. 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:2004-06-25 修回日期:2004-06-25 出版日期:2004-06-20 发布日期:2004-06-20
  • 通讯作者: 夏德林,Tel:13693106358
  • 作者简介:夏德林(1972-),男,四川人,主治医师,博士

Compositive Treatment of Square Face

XIA De-lin, GUI Lai, ZHANG Zhi-yong, JIN Ji, NIU Feng, LUO Jin-chao   

  1. Plastic SurgeryHospital ofChinese Academy ofMedical Science, Beijing100041, China
  • Received:2004-06-25 Revised:2004-06-25 Online:2004-06-20 Published:2004-06-20

摘要:

目的 探讨方脸综合改形的方法。方法 对71例方脸要求手术改变成椭圆脸型的患者经口内入路,以双侧下颌角弧形截骨整形,颏部成形为主,结合颧骨截骨降低缩窄、颊脂垫部分摘除及其他辅助美容手术,整体重塑面部轮廓。结果 所有患者面型均得到明显改善,术后随访6个月~2年,效果满意。其中术中大出血1例,一侧颏神经损伤2例,口角拉伤5例。结论 以下颌角弧形截骨术、颏部成形术为主,结合其他手术方式对方脸进行综合改形,临床效果良好。

关键词: 方脸, 下颌角截骨, 颏部成形, 颧骨整形

Abstract:

Objective To investigate the treatment of square face with compositive methods.Methods Atotal of 71 patients with square-shape face were treated. According to the different face skeleton and desire of patient, mandible angle curved-osteoto- my and mentoplastywere used as main methods and zygomatoplasty, buccal fat pad resecting and other aesthetic methods as assis- tant methods to recontour the whole face skeleton.Results The face skeleton of all patients was improved with satisfaction. The following-up period was 6 months to 2 years. In this patients group,massive haemorrhage was occurred during operation in one pa- tient, mental nerve of one side was injured in two patients, the lip mucosa was wounded in five patients.Conclusion Mandible angle curve-osteotomy and mentoplasty combined with other assistant aesthetic operations were ideal methods to recontour square face. The result was satisfactory.

Key words: square face, mandible angle osteotomy, mentoplasty, zygomoplasty