小切口颏成形联合A型肉毒毒素一针多点咬肌注射面部轮廓塑形.docVIP

小切口颏成形联合A型肉毒毒素一针多点咬肌注射面部轮廓塑形[摘要]目的:分析咬肌肥厚伴有颏部短小者采用小切口颏成形联合A型肉毒毒素一针多点咬肌注射面部轮廓塑形的效果。方法:本组20例均为女性,年龄18～42岁,平均年龄38岁,均为咬肌肥厚伴下颌短小,按受术者要求雕刻隆颏假体,在下唇距唇龈沟0.5cm口腔粘膜面,尖牙和第一前磨牙之间对应位置设计长约1cm两纵切口,分离并放入假体。在咬肌中心点进针注射0.2ml,然后把针头退至皮下,再向周围各点进针至咬肌内注射0.1ml。平均每侧注射剂量为50U。如两侧咬肌不对称可适当调整注射剂量。结果:本组共20例均为咬肌肥厚伴有颏部短小,经小切口颏成形联合A型肉毒毒素一针多点咬肌注射面部轮廓塑形,经6个月以上随访,均获得满意效果,无并发症。结论:小切口颏成形联合A型肉毒毒素一针多点咬肌注射面部轮廓塑形是一种创伤小、操作简单、并发症少,较适合于咬肌肥大伴下颌短小的患者。 [关键词]颏成形;A型肉毒毒素;咬肌;轮廓塑形 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)01-0016-02 Facial contour improvemen Microincision chin forming combined with botulinum toxin type A injection LI Hong-wei1,WANG Yi-min2,ZHAO Yong-jian1,FENG Shi-hai1,LIU Qun1 (1.Department of Plastic Surgery, Tianjin 4th Hospital,Tianjing 300222,China;2.Plastic Surgery of Shanghai 9th People, Hospital,Shanghai 200040,China) Abstract:ObjectiveTo explore the effect of facial contour after the treatment of Microincision chin forming combined with botulinum toxin type A masseter injection.MethodsTwenty patients in this group were female, aged 18～42 years, mean age 38 years, both masseteric hypertrophy and short lower jaw. Carving the chin implant according to the demanded .Two incisions were designed below the gingival 0.5cm, and between canine and first premolar which about one centimeter .The regional of design were separated before the prosthesis was placed. 0.2ml BTX-A was injected into the center of the masseter muscle and 0.1ml BTX-A was used in other injection points. The average dose injected on each side was 50U.ResualtsThe complications were not found in the 20 cases, and the results were satisfactory by followed-up visite.ConclusionsOwning to the simple operation, reliable results, Microincision chin forming combined with botulinum toxin type A multipoint injection is suitable for the patients with masseteric hypertrophy and microsomia chin. Key words:chin forming;botulinum toxin type A;masseter muscle; facial contour 门诊以双侧面颊部过于丰满的就诊者中约70%以上是咬肌肥厚而下颌骨发育正常,同时有部分伴有颏部短小。笔者于2007