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Medpore与颏成形术骨增量术的比较

Medpore versus osseous augmentation in genioplasty procedure: A comparison.

作者信息

Mohammad Shadab, Dwivedi Chandra Dhar, Singh R K, Singh Vibha, Pal U S

机构信息

Department of Oral and Maxillofacial Surgery, C.S.M Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2010 Jan;1(1):1-5. doi: 10.4103/0975-5950.69147.

DOI:10.4103/0975-5950.69147
PMID:22442541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3304182/
Abstract

BACKGROUND

Genioplasty deals with small area of craniofacial complex, namely, chin. Alloplastic chin implants and sliding genioplasty represent the two currently accepted methods of chin augmentation. Chin augmentation with medpore has become popular in the recent years.

MATERIAL AND METHODS

The study comprised 16 patients having retruded chin, out of whom 8 patients underwent sliding genioplasty while the other 8 underwent chin augmentation using medpore. The versatility and benefits of the two techniques are discussed.

RESULT AND CONCLUSION

All the patients achieved satisfactory results with no complication. Both the techniques can be used for mild to moderate retrogenia, while in the case of severe retrogenia, sliding genioplasty is recommended. Medpore is especially used for revision of chin shape. Medpore can give the same satisfactory result as osseous genioplasty in cases of mild to moderate horizontal chin deficiency. All the patients from both the groups showed significant improvement in facial profile and high degree of satisfaction resulting in improved self-esteem.

摘要

背景

颏成形术针对颅面复合体的小区域，即下巴。异体下巴植入物和滑动颏成形术是目前两种被认可的下巴增大方法。近年来，使用多孔聚乙烯进行下巴增大已变得流行。

材料与方法

该研究包括16例下巴后缩患者，其中8例接受滑动颏成形术，另外8例使用多孔聚乙烯进行下巴增大。讨论了这两种技术的多功能性和益处。

结果与结论

所有患者均取得满意效果，无并发症。两种技术均可用于轻度至中度小颏畸形，而对于严重小颏畸形，建议采用滑动颏成形术。多孔聚乙烯特别用于下巴形状的修复。在轻度至中度水平下巴不足的情况下，多孔聚乙烯可给出与骨性颏成形术相同的满意效果。两组所有患者的面部轮廓均有显著改善，满意度高，自尊心增强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/8565fceb523c/NJMS-1-1-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/09028202fa92/NJMS-1-1-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/7bf47f498be2/NJMS-1-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/6ea14bedb7d0/NJMS-1-1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/4380ae8a9089/NJMS-1-1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/f7c01e952109/NJMS-1-1-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/8565fceb523c/NJMS-1-1-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/09028202fa92/NJMS-1-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/23b2a4a9be74/NJMS-1-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/0c091b45eb75/NJMS-1-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/53bbdf28d650/NJMS-1-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/7bf47f498be2/NJMS-1-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/6ea14bedb7d0/NJMS-1-1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/4380ae8a9089/NJMS-1-1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/f7c01e952109/NJMS-1-1-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/3304182/8565fceb523c/NJMS-1-1-g009.jpg

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本文引用的文献

1
Genioplasty and chin augmentation with Medpore implants: a report of 650 cases.使用Medpore植入物进行颏成形术和隆颏术：650例报告。
Aesthetic Plast Surg. 2008 Mar;32(2):220-6. doi: 10.1007/s00266-007-9106-6.
2
The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. II. Operating methods for microgenia and distoclusion.下颌前突及后缩伴颏成形术的手术矫正。II. 小颏及远中错牙合的手术方法。
Oral Surg Oral Med Oral Pathol. 1957 Aug;10(8):787-92; contd.
3
Genioplasty: a case for alloplastic chin augmentation.
颏成形术：异体材料隆颏病例
J Oral Maxillofac Surg. 2000 Jul;58(7):788-93. doi: 10.1053/joms.2000.7267.
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Genioplasty: a case for advancement osteotomy.颏成形术：一例前移截骨术病例
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Augmentation genioplasty with hard tissue replacement implants.使用硬组织替代植入物的隆颏术。
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Screw osteosynthesis compared with wire osteosynthesis in advancement genioplasty: a retrospective study of skeletal stability.颏成形术中螺钉内固定与钢丝内固定的比较：一项关于骨骼稳定性的回顾性研究
Br J Oral Maxillofac Surg. 1997 Oct;35(5):352-6. doi: 10.1016/s0266-4356(97)90409-5.
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Sliding genioplasty, avoiding mental nerve injuries.滑动颏成形术，避免颏神经损伤。
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Long-term osseous and soft tissue changes after large chin advancements.大下巴前移术后的长期骨与软组织变化
J Craniomaxillofac Surg. 1993 Mar;21(2):54-9. doi: 10.1016/s1010-5182(05)80148-9.
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Use of Medpor porous polyethylene implants in 140 patients with facial fractures.140例面部骨折患者使用Medpor多孔聚乙烯植入物的情况。
J Craniofac Surg. 1993 Jul;4(3):142-7. doi: 10.1097/00001665-199307000-00007.
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The role of chin correction in profileplasty.颏部矫正在面部轮廓整形中的作用。
Plast Reconstr Surg. 1968 May;41(5):477-86. doi: 10.1097/00006534-196805000-00010.