Suwon and Seoul, Republic of Korea From the Department of Plastic and Reconstructive Surgery, Ajou University Hospital, and the Romian Plastic Surgery Clinic.
Plast Reconstr Surg. 2011 May;127(5):2076-2082. doi: 10.1097/PRS.0b013e31820cf5a5.
A square mandible is considered unattractive in Asia; as a result, mandibular reduction is the most common type of operation performed. The authors review the importance of mandibular tubercles in the lower margin of the parasymphysis area and introduce their resection techniques and results.
From April of 2005 to September of 2009, 178 patients underwent tubercle resection in the parasymphyseal area. The procedures used were as follows: mandibular angle reduction in 139, genioplasty in 39, and mandibular angle reduction with simultaneous malar reduction in 58 patients. In the chin area, horizontal osteotomy was performed in 35 patients to reduce chin length. Other patients underwent mandibular tubercle resection and burring.
With the exception of one patient who developed hyperesthesia in the left lower lip 2 years after the procedure, all patients achieved satisfactory aesthetic results after mandibular tubercle resection and concurrent mandibular reduction.
The authors consider mandibular tubercle resection, either as a single procedure or combined with mandible reduction, essential for patients who require a slimmer, more feminine lower face.
方形下颌在亚洲被认为不美观；因此，下颌缩小术是最常见的手术类型。作者回顾了下颌体下缘下颌隆突的重要性，并介绍了他们的切除技术和结果。
2005 年 4 月至 2009 年 9 月，178 例患者在下颌体区域行隆突切除术。采用的手术方法如下：下颌角缩小术 139 例，颏成形术 39 例，下颌角缩小术同期颧骨缩小术 58 例。颏部行水平截骨术 35 例，以减少颏长度。其他患者行下颌隆突切除和打磨。
除 1 例患者术后 2 年出现左下唇感觉过敏外，所有患者均在接受下颌隆突切除及同期下颌骨缩小术后获得满意的美学效果。
作者认为，对于需要更纤细、更女性化的下面部的患者，无论是单独进行还是与下颌骨缩小术联合进行，下颌隆突切除术都是必要的。
