口内入路颧骨缩小术的数点改进

Improvement of reduction of prominent malar complex through an intraoral incision

目的 对口内入路颧骨缩小术做数点改进。方法 我们在颧骨截骨线的形态、是否增加耳前切口、颧突复合体的移动方向、内固定的方式、面颊部软组织松弛的防治等方面作了一些改进。结果 2 0 0 0年 6月至 2 0 0 4年 4月 ,我们在临床应用 17例 ,均获得了满意效果。

Objective To improve the technique of prominent malar complex reduction. Methods The improvements of the operation procedure included double-oblique osteotomy of the prominent malar complex, accessorial tiny preauricular incision and the way that the complex was moved upward, inward or posteriorly. The zygomatic body was fixed with microplate screw or steelwire. The jugal soft tissue was lifted to prevent facial slack. The method was used in 17 cases from June 2000 to April 2004. Results Postoperative follow up for 4～24 months showed satisfactory result in all the cases. Conclusions This modified method resolved some problems in reduction malarplasty through an intraoral approach.;