面部骨性轮廓整形(颧骨颧弓、下颌角、颏)十年临床经验回顾

Ten-year experience in facial bone contouring plasty

目的回顾总结笔者颅颌面美容团队十年中面部骨性轮廓整形手术的经验。方法对750例下颌角肥大行弧形截骨术,对141例颧骨颧弓肥大行I型或L型截骨同时辅以颞面部软组织提升术,对117例颏部形态异常行颏水平截骨前移或颏水平截骨加高/缩短/左右移动综合手术。结果所有1008例手术患者面型均得到明显改善,并有不同程度面部年轻化表现。其中面神经颞支暂时性损伤3例,大出血1例,感染2例,颏神经损伤2例,均得到有效处理恢复。结论恰当的面部骨性轮廓(颧骨颧弓下颌角颏)手术术式设计,良好的技术操作可以使面部轮廓外形得到显著改善,并有不同程度面部年轻化的效果。

Objective To review ten-year experiences in facial bone contouring plasty by our craniofacial team.Methods During ten-year clinical practice,we have performed 750 cases of mandibular contouring surgery,141 cases of reduction malarplasty with type I or type L osteotomy combined with temple-facial soft tissue lifting,and 117 cases of different type genioplasty.Results All 1008 individuals underwent surgery of facial bone contouring plasty have got prominent improvement in facial bone contour.As for complications,3 cases with temporary injury to temporal branch of facial nerve were found in reduction malarplasty,1 case with massive haemorrhage in mandibular contouring surgery,and 2 cases with infections in mandibular contouring surgery,and 2 cases with mental nerve damages.All complications were recovered after effective treatment.Conclusion Facial bone contouring plasty with reasonable surgery procedures and skillful technical operation may significantly improve patients facial bone contour appearance.