Rahpeyma Amin, Khajehahmadi Saeedeh
Oral and Maxillofacial Diseases Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blvd, Mashhad, Iran,
Oral Maxillofac Surg. 2014 Dec;18(4):415-8. doi: 10.1007/s10006-013-0429-y. Epub 2013 Aug 7.
Extraoral skin fistula after resolution of odontogenic infection often resolves spontaneously, but in some cases, facial dimpling occur which needs revision surgery. This article evaluates the result of needle subcision for treatment of this condition, with or without dermal filler injection.
Five patients with facial dimpling that was remained after elimination of odontogenic infection origin were evaluated. Subcision alone was used in four patients, and needle subcision followed by dermal filler was done in a patient.
Facial dimpling in the chin (a case), mandibular lower border (two cases) as well as cheek skin (two cases) were treated by this method. All patients were satisfied with the cosmetic results. Six month after surgery, treatment outcomes were stable.
Needle subcision is a simple and conservative method for correction of facial dimpling after elimination of odontogenic infection source.
牙源性感染消退后口外皮肤瘘管通常会自行愈合，但在某些情况下会出现面部凹陷，这需要进行修复手术。本文评估了单纯针刀分离术或联合真皮填充剂注射治疗这种情况的效果。
对5例牙源性感染源消除后仍存在面部凹陷的患者进行评估。4例患者仅采用针刀分离术，1例患者先进行针刀分离术，随后注射真皮填充剂。
该方法治疗了下巴（1例）、下颌下缘（2例）以及脸颊皮肤（2例）的面部凹陷。所有患者对美容效果均满意。术后6个月，治疗效果稳定。
针刀分离术是一种简单且保守的方法，用于消除牙源性感染源后矫正面部凹陷。
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