摘要
目的:综合口内切口、口外微小切口两切口优点,行肥大下颌角骨磨除手术。方法:口内下颌角手术切口,辅以口外下颌角尖端皮肤3mm微小切口,将电动磨头柄部由此小口穿出,在口外将下颌角骨部分磨除,口内去除部分咬肌,术后由口外切口置放引流,减轻术后肿胀。结果:以此术式行14例双侧下颌角缩小整形,术后肿胀较同期的8例单纯口内切口手术者明显减轻,肿胀消退亦快,经X线检查下颌骨磨除效果好,弧线光滑自然,术后外观、形态、手感均达到良好效果。口外切口瘢痕不明显。结论:口内切口辅以口外微小切口下颌角缩小是易操作、瘢痕小、效果好的手术方法。
Objective: The study was to evaluate the improvement of incision in the prominent mandibular angle (PMA) ostectomy. Ostectomy through the intraoral route with a tiny additional extraoral incision. The predetermined part of bone was ostectomy by grinding and some part of the masseter were resected. Methods : We did classical intraoral incision, but added a tiny extraoral incision at angle of mandible. The dillstock of electric drill was put pass through the two incision to outside then was connected to the machine. The electric dill was easily controled by outside mouth and then the prominent mandibular angle (PMA) was ostectomy by grinding. Drains was used pass through extraoral incision. Results: These 14 cases had a low rate of complications and usualy good cosmetic results after clinical and radicgraphic evaluation. The post operative face swelling was much slight than other 8 patients by intraoral route method in the same period. It is a easy and reliable method for surgical remedy of the prominent mandibular angle (PMA) . Conclusion: Through intraoral route with an tiny additional extraoral incision the prominent mandibular angle was grinded is a useful, well resulted method.
出处
《中国美容医学》
CAS
2003年第3期282-283,共2页
Chinese Journal of Aesthetic Medicine
关键词
口内切口
口外切口
下颌角缩小整形术
下颌角肥大
prominent mandibular angle (PMA)
intraoral route
tiny extraoral incision
grinded ostectomy
