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通过颏成形术缩窄和滑动联合下颌骨外皮质骨切除术矫正东方人短面方颏畸形。

Contouring of a square jaw on a short face by narrowing and sliding genioplasty combined with mandibular outer cortex ostectomy in orientals.

机构信息

Chengdu, People's Republic of China The State Key Laboratory of Oral Diseases and the Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University.

出版信息

Plast Reconstr Surg. 2011 May;127(5):2083-2092. doi: 10.1097/PRS.0b013e31820e9203.

DOI:10.1097/PRS.0b013e31820e9203
PMID:21532436
Abstract

BACKGROUND

A square face is considered unattractive in Orientals; thus, it has become a frequently encountered reason for patients undergoing face contouring surgery. While reviewing the unsatisfactory cases of mandibular reduction, the authors discovered that some failed cases were related to a square jaw on a short face. The conventional procedures fix only the posterior region of the mandible, resulting in increased prominence of the stunted or square chin and short face. Thus, the authors applied a narrowing and sliding genioplasty procedure combined with a mandibular outer cortex ostectomy technique to reshape a wide, weak chin, and a square jaw on a short lower facial contour into a slender and attractive oval face.

METHODS

From July of 2005 to October of 2009, there were a total of 57 patients in this study who underwent a narrowing and sliding genioplasty combined with a mandibular outer cortex ostectomy procedure to correct a square jaw on a short face.

RESULTS

The postoperative appearance of all 57 cases showed that the lower face had narrowed and had become softer, slender, and oval, with a slick mental region.

CONCLUSION

Narrowing and sliding genioplasty combined with a mandibular outer cortex ostectomy procedure could efficiently adjust the shape and position of the chin to obtain a good proportion of the lower face and change a square, short face to a slender, oval one in a single operation in accordance with fashionable aesthetics in Orientals.

摘要

背景

在东方人看来,方形脸不美观;因此,脸型轮廓整形成为了患者常见的诉求之一。在回顾下颌缩小术的不满意病例时,作者发现有些失败的病例与短脸的方形下颌有关。传统的手术仅固定下颌的后区域,导致发育不良或方形的下巴和短脸更加突出。因此,作者应用了缩窄和滑动颏成形术,并结合下颌外皮质骨切除术,以重塑宽而弱的下巴和短脸的方形下颌,使其变成纤细而有吸引力的椭圆形脸。

方法

2005 年 7 月至 2009 年 10 月,共有 57 例患者接受了缩窄和滑动颏成形术,并结合下颌外皮质骨切除术,以矫正短脸的方形下颌。

结果

57 例患者的术后外观均显示,下面部变窄,颏部变得更加柔和、纤细、呈椭圆形,颏下区平滑。

结论

缩窄和滑动颏成形术并结合下颌外皮质骨切除术,可以有效地调整颏部的形状和位置,使下面部获得良好的比例,并根据东方人的时尚审美,在一次手术中改变方形、短脸为纤细、椭圆形的脸型。

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