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局部浸润麻醉口内切口下面部整形术 被引量:9

Intergrated infraofacial plasty with intraoral incision under local anaesthesia
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摘要 目的探索一种简便、安全、有效的下颌角肥大矫正术.方法根据下颌角肥大情况,在局部浸润麻醉下,经口内入路应用颌面骨电动手术器械,同时采用完全咬肌分离、磨平斜线部位、下颌角弧形截骨和下颌缘修整的方式治疗32例,对咬肌过度肥大者3个月后行肉毒素A的注射19例,对脸颊丰满者同时部分去除颊脂垫2例.结果对12例进行1~6个月随访,患者均满意.结论本法操作简易,磨骨、截骨方便,对患者全身影响小,并发症少,恢复快,符合美容手术原则. Objective To explore an easy, safe and effective method for correction of the hypertrophy of mandibulae angle and inferior facial enlargement. Methods Based on the complexion of mandibulae angle hypertrophy, 32 patients were treated through an intraoral incision with complete separation of masseter, polish of the diagonal site, camber gonion osteotomy and mandibular marginal plasty under local anaesthesia. Meanwhile, 19 patients with masseter hypertrophy were injected with botulinal toxin A three months after the operation, and 2 patients with faeio-buccal fullness were treated with removal of the buddal fat pad. Results 12 patients were satisfied with the results after following-up for one to six months. Conclusion This method is easy-doing, safe , reliable and accords with the principle of aesthetics. Osteotomy and grinding of the bone are convenient, which have little damage to patients with less complications and quick recovery.
出处 《中华医学美学美容杂志》 2005年第5期273-276,共4页 Chinese Journal of Medical Aesthetics and Cosmetology
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