口内进路高颧骨整形术

高颧骨整形术中为达到理想的美容效果,必须将颧部整形与面部其他器官的美容作一个整体来考虑。文中介绍了矫正高颧骨畸形的一种新的手术方法,手术进路有两种,一种是口内,另一种是冠状切口。自1994年12月至1996年2月,通过口内进路设计一种 V 形切口,用骨切削技术矫正高颧骨畸形,共施术于25例病人。手术简单,安全,可对门诊病例采用局部麻醉施行手术。本组病例大多数经6月至1年以上随访,术后显示疗效满意。暂时性并发症通常与创口肿胀、皮下瘀血等有关。认为口内进路高颧骨整形术是一种安全、有效、相对简单的手术方法,可用来矫正轻、中度的高颧骨畸形,从而获得满意的外形。

High-malar plasty through an intraoral approach

Request for high-malar plasty,a purely aesthetic surgery,is fairly common in the Orien- tal.For an optimal result,consideration should be given to integrating the malar reconstruction with the facial features.A new method for correction of the high-malar deformity was introduced,in which the in- traoral approach through an L-shaped incision and osteotomy were employed.The technique is simple, safe and can be done with local anesthesia on an outpatient basis.From December 1994 to February 1996,we have successfully treated 25 cases with this method.Postoperative follow-up for 6 months to 1 year revealed aesthetically satisfactory results.Complications are minor,including swelling,ecchymosis, etc.We conclude that high-malar plasty through the intraoral approach is a safe,effective and relatively simple technique for mild and moderate high-malar deformity.