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不对称性下颌角肥大的手术治疗
引用本文:黄绿萍,归来,张智勇,滕利,牛峰. 不对称性下颌角肥大的手术治疗[J]. 华西口腔医学杂志, 2004, 22(1): 40-42
作者姓名:黄绿萍  归来  张智勇  滕利  牛峰
作者单位:海南省人民医院,整形美容外科,海南,海口,570311;中国医学科学院中国协和医科大学整形外科医院,颅颌面外科,北京,100041
摘    要:目的 探讨不对称性下颌角肥大的原因及手术治疗。方法 采用下颌角弧形截骨术、下颌骨外板截骨术、颏成形术及颊脂垫取出术等方法,治疗不对称性下颌角肥大患者70例。结果 70例患者术后面部对称性均明显改善。70例患者中仅3例出现并发症,包括术后出血、口唇拉伤增生性瘢痕及术后感染等。结论 治疗不对称性下颌角肥大应根据畸形的特点,选择性应用下颌角弧形截骨术、下颌骨外板截骨术、颏成形术及颊脂垫取出术等方法,其效果良好。

关 键 词:下颌角肥大  下颌角弧形截骨术  下颌骨外板截骨术  颏成形术  颊脂垫取出术
文章编号:1000-1182(2004)01-0040-03
收稿时间:2004-02-25
修稿时间:2002-12-17

Treatment of the Asymmetric Prominent Mandibular Angle
Lü-ping Huang,Lai Gui,Zhi-yong Zhang,Li Teng,Feng Niu. Treatment of the Asymmetric Prominent Mandibular Angle[J]. West China journal of stomatology, 2004, 22(1): 40-42
Authors:Lü-ping Huang  Lai Gui  Zhi-yong Zhang  Li Teng  Feng Niu
Affiliation:1.Dept.ofPlastic Surgery,HainanProvincialPeople’sHospital,Haikou570311,China;2.Plastic SurgeryHospi- tal,Chinese Academy ofMedical Sciences,Beijing100041,China
Abstract:Objective To investigate the causes and treatment of the asymmetric prominent mandibular angle. Methods From 1996 to 2001, mandibular angle osteotomy, mandibular outer cortex osteotomy, mandible,genioplasty and buccal pad excision were selected to treat 70 patients. Results All the patients had satisfactory results with complications of bleeding, infection and labial scar in three patients. Conclusion asymmetric prominent mandibular angle should be treated according to the characteristics of the deformity. Mandibular angle osteotomy, osteotomy of outer cortex of the mandible, genioplasty and bucal pad excision can provide satisfactory result.
Keywords:prominent mandibular angle  osteotomy of the mandibular angle  osteotomy of the outer cortex of mandible  genioplasty  buccal pad excision
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