局麻下口内入路下颌角肥大及颧骨突出磨削矫治术

Correction of prominent mandibular angle and malar with a abrasive mothod through intraoral incision under local anesthesia

目的:探讨一种安全、简便、有效的下颌角肥大及颧骨突出矫治术。方法:根据下颌角肥大及颧骨突出的情况,在局部浸润麻醉下,由口内入路,应用颌面骨电动手术器械行下颌角、颧骨磨削术。结果:2004～2008年,我们共实施35例该手术,所有病例治疗过程顺利,未出现骨折、大出血等并发症,经过1～36个月的随访,所有患者均对术后效果满意。结论:局部浸润麻醉下下颌角肥大及颧骨突出磨削术是一种操作简便、安全合理的术式,并发症少、恢复快、符合美学标准及美容手术原则。

Objective To search a simple, safe and effective method for correction of prominent mandibular angle and malar under local anesthesia. Methods According to the patient＇s condition with prominent mandibular angle and malar, abrasive osteoplasty was performed using the special designed grinding burs with protecting sheath through intraoral incisions under local anaesthsia. Results From 2004 to 2008, we have performed 35 patients with prominent mandibular angle and malar using this method. Postoperative follow up for 1-36 months showed satisfactory results in all cases. Conclusion The abrasive osteoplasty is a simple, safe and effective method for correction of prominent mandibular angle and malar, which accords with rules of aesthetic surgery.