Manafi Ali, Pooli Aydin H, Habibollahi Peiman, Saidian Lila
Hazrat Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
Eplasty. 2009 Nov 23;9:e57.
A simple method has been introduced for augmentation and restoration of normal chin protrusion as an important element of facial contour in patients suffering from severe skin retraction and scar resulting from head and neck area burns.
For releasing skin retraction and compression of the mental area subcutaneous fat tissues, under general anesthesia, 2 incisions were made in the submental and labiomental areas, each about 3 to 5 cm. After dissection of the superior portions of labiomental and inferior pedicle of submental fat pads, turning over and attaching them together, the skin over the area was reconstructed as needed.
Thirty-four patients with pseudomicrogenia were involved. In 32 patients, the procedure was performed successfully and the results were evaluated as excellent in 15 cases and good in 17 cases. However, in 2 patients, suboptimal results were obtained, which were corrected using genioplasty in one of them. The other one did not consent for any further surgeries. Split-thickness skin grafting was performed in 3 cases. Tissue expansion and full-thickness skin grafting were used in 3 others for resurfacing the area.
Taken together, the current technique might be helpful in restoring normal chin protrusion and can be used besides available methods for resurfacing and reconstruction of the defective skin for enhancing the facial appearance.
介绍一种简单方法，用于改善和恢复正常的颏前凸，这是头颈部烧伤导致严重皮肤回缩和瘢痕的患者面部轮廓的一个重要组成部分。
为松解颏部皮肤回缩和颏部皮下脂肪组织受压，在全身麻醉下，于颏下和唇颏区做2个切口，每个切口约3至5厘米。在解剖唇颏部上份和颏下脂肪垫的下蒂后，将它们翻转并缝合在一起，根据需要重建该区域的皮肤。
34例假性小颏畸形患者参与研究。32例患者手术成功，其中15例效果评估为优，17例为良。然而，2例患者效果欠佳，其中1例采用颏成形术进行了矫正。另1例不同意进一步手术。3例行中厚皮片移植。3例采用组织扩张和全厚皮片移植修复该区域。
总体而言，当前技术可能有助于恢复正常的颏前凸，并且除了现有的用于修复和重建缺损皮肤以改善面部外观的方法外，还可使用该技术。
