Zide B M, McCarthy J
Institute of Reconstructive Plastic Surgery, NYU Medical Center.
Plast Reconstr Surg. 1989 Mar;83(3):413-20.
The soft-tissue chin may become ptotic following surgery in this area. The mentalis muscles which are responsible for proper central lip motion and chin point position may be affected. The mentalis muscle origin may require resuspension at a proper level. This reattachment may be performed by means of an intraoral approach. Non-absorbable sutures are used to hold the soft-tissue chin upward. The exact method involves placing drill holes through the alveolar bone, into which sutures are passed. These sutures are then placed through the lower mentalis muscles and tightened. Chin and lip position may be corrected in certain cases. Ancillary procedures are required to correct vestibular scarring and submental scars.
该区域手术后,软组织颏部可能会出现下垂。负责唇部正常中央运动和颏部尖位置的颏肌可能会受到影响。颏肌起点可能需要在适当水平重新悬吊。这种重新附着可通过口内入路进行。使用不可吸收缝线将软组织颏部向上固定。具体方法是在牙槽骨上钻孔,将缝线穿过这些孔。然后将这些缝线穿过颏下部肌肉并收紧。在某些情况下,颏部和唇部位置可得到矫正。需要辅助手术来矫正前庭瘢痕和颏下瘢痕。