颏部双阶梯水平截骨术在严重小颏畸形治疗中的应用.pdfVIP

中国荣容阪学 2011 年4 月第 20 咨第4 期 Chinese Joumal of A制thetic Medicine.Apr.201 I.Vo I.20.No.4 567 ·领面羹容. .论著· 划部双阶梯水平截骨术在严黄小旗畸形治疗中的应用 卢建建，滕利，靳小窗，徐家点，张起，张波，许美邦，解芳，回甜 (中国阪学科学院中阁协和医科大学接形外科医院颅领ti1 二科北京 100144) [摘要]目的1 介绍一种治疗严爱小须畸形的有效方法.方法:采用口内切口行颊部双阶稀水平截骨前移并坚阁内阁定，以增加绩 突度和额长底，改善额部形态。结果:2003 年 10 月耐 2010 年 9 月共治疗 25 例，术后患者额部形态均得到明显改善，顽部平均前 移 12mm，重塑的颁部外形满意，随访 6 个月 -4 年，手术放采稳定，裁骨区骨愈合良好，元明显并发症出现.结论z 应用额部双阶 梯水乎截骨前移*治疗严重小额畸形，可明显改善额部形态，协调面部轮廓比例关系，效采显著. 〔关键词〕小额畸形;水平截骨;双阶梯水平截骨 [中回分类号]R782 [文献标识明]A [文章编号]1008-6455(2011)04-0567叩03 Genioplasty with two-step horizontal advαncement osteotomy for severe microgenia LU Jian-….jian,TENG Li,JIN Xiao-lei ,XU Jia斗ie，ZHANG Chao,ZHANG Bo,XU Mei-bang,XIE Fang,TIAN Tian (Cranío-Maxillo叩Facíal Surgery Department 2,Plastic Surgery Hospital,Pekíng Union Medícal College,China Academy of Medícal Scíences ,Beíjing 1 ∞144， Chína) Abstract: Objective To íntroduce an effective surgical techníque 10r correction 01 severe microgenía. Methods Two parallel osteotomíes were performed under mental foramen through íntraoral muscous incísíon.The mobílízed segments were advanced líke two steps ín order to íncrease protrusíon and heights 01 the chin and 1ixed rígidly with míníplate. Results From Oct， 2∞3 to Sep.2010 ,25 cases with ωvere microgenia were treated wíth thís techníque.The chin moved 10rward 12mm in average and the reshaping contour of the chin ís satisfied.Follow -up 6 months to 4 years ,all the patients healed well with satis1actory aesthetic results. Conclusion The geníoplasty with two -step horizontal advancement osteotomy as a reliable method for severe microgenia can significantly improve the appearance of the chin ,coordination the proportíon of facial contours. Key words:microg