Zhang Ce, Zhao Luyi, Li Chao-Ran, Shim Yoong-Hoon, Cao Dejun
*Department of Plastic and Reconstructive Surgery, Shanghai Ninth Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai †Department of Plastic and Reconstructive Surgery, Zhejiang Provincial People's Hospital ‡Stomatology Hospital Affiliated to Zhejiang University School of Medicine §Department of Inter-media Art, China Academy of Art, Hangzhou, China.
J Craniofac Surg. 2017 Mar;28(2):314-317. doi: 10.1097/SCS.0000000000003350.
In East Asia, receding and short chin are common complaints of patients who do not have satisfied lower face. In most former studies, receding and short chin are considered and treated separately. But during the clinical work, the authors found that, in many patients, neither vertical elongation nor horizontal advancement of the chin is sufficient to achieve a harmonious result. In regards of this problem, the authors performed an advancing and lengthening genioplasty and the results were aesthetically satisfactory.
Twenty-six patients with receding and short chin were involved in this study. After presurgical computed tomography (CT) scan, advancing and lengthening genioplasty with/without other osteotomy operations were performed on all the patients. All patients underwent postoperative CT scan and had at least 3-month follow-up.
All patients were satisfied with the final results. According to the postoperative CT images and 3-month follow-up, no severe complications occurred.
For patients with receding and short chin, advancing and lengthening genioplasty is a reliable therapy to obtain harmonious East Asian lower face.
在东亚地区，下巴后缩和短小是面部下半部分不满意的患者常见的诉求。在大多数以往的研究中，下巴后缩和短小是分别进行考虑和治疗的。但在临床工作中，作者发现，在许多患者中，单纯的下巴垂直拉长或水平前移都不足以达到和谐的效果。针对这一问题，作者实施了前移延长颏成形术，效果令人满意。
本研究纳入了26例下巴后缩和短小的患者。术前进行计算机断层扫描（CT）后，对所有患者实施了带或不带其他截骨手术的前移延长颏成形术。所有患者术后均进行了CT扫描，并至少随访3个月。
所有患者对最终结果均满意。根据术后CT图像和3个月的随访情况，未发生严重并发症。
对于下巴后缩和短小的患者，前移延长颏成形术是获得和谐东亚人面部下半部分的可靠治疗方法。
