Wang Chenglong, Gui Lai, Liu Jianfeng
Craniofacial Center One, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Plast Reconstr Surg Glob Open. 2015 Dec 9;3(11):e554. doi: 10.1097/GOX.0000000000000536. eCollection 2015 Nov.
In this article, the authors present a practical surgical technique using the anatomical character of the inferior alveolar nerve to fully expose the mental nerve (MN) in narrowing genioplasty. During the procedure, a rectangular mandibular outer cortex adjacent to the mental foramen is removed before the osteotomy. The objective is to avoid the injury of the MN from the reciprocating saw or bur and offer abundant space for the surgical operation. The technique has a minimal learning curve and will be useful to plastic surgeons to minimize unintentional cutting or pulling injury to the MN in narrowing genioplasty.
在本文中,作者介绍了一种实用的外科技术,利用下牙槽神经的解剖特征在缩窄颏成形术中充分暴露颏神经(MN)。在手术过程中,在截骨术前去除与颏孔相邻的矩形下颌骨外皮质。目的是避免往复锯或牙钻损伤颏神经,并为手术操作提供充足的空间。该技术的学习曲线很短,将有助于整形外科医生在缩窄颏成形术中尽量减少对颏神经的意外切割或牵拉损伤。