眉弓轮廓过突改形术

Contour changing of forehead

目的 介绍眉弓轮廓过突的改形方法。方法 采用头皮冠状切口 ,以微型来复锯将前额骨过突部外板截除 ,并磨改重塑眶上嵴和眶外侧缘 ,临床应用共 16例。结果 16例均获满意效果 ,12例求术者随访 3～ 12个月 ,无复发和骨质增生。眉弓前突消失 ,前额角、鼻额角正常 ,前额—鼻曲线流畅。结论 该手术方法不仅简单、可靠、安全 ,而且眉弓轮廓改善明显。

Objective To bring forward a method to improve the prominence of the forehead contour. Methods 16 patients(age 29～53 years, female 11 ,male 5 )were treated through a bicoronal incision. Following the incision , the forehead soft tissues are reflected down to the level of the superior orbital rims with the protection to the supraorbital neurovascular bundles. To adjust the forehead contour , both superior orbital rims and frontal bossing was reduced by burring down the excess bone or removing the anterior wall of the forehead. Results The operative effect were satisfactory during 3～12 months of follow-up. No recurrence or osteogenesis were found in the cases. Nasofrontal angle and forehead angle were normal. The prominence of the supraorbital ridges disappeared and forehead became nature. Conclusion Cranioplasty via an osteomy or burring of the outer line of forehead bone are safe, compact and effective way to improve the prominence of the superior orbital rims or frontal bossing. ;