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部分咬肌切除联合下颌角缩小术后的牙关紧闭、神经损伤及继发角形成:1例报告

The postoperative trismus, nerve injury and secondary angle formation after partial masseter muscle resection combined with mandibular angle reduction: a case report.

作者信息

Kim Jeong-Hwan, Lim Seong-Un, Jin Ki-Su, Lee Ho, Han Yoon-Sic

机构信息

Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center, Seoul, Korea.; Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.

Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center, Seoul, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2017 Feb;43(1):46-48. doi: 10.5125/jkaoms.2017.43.1.46. Epub 2017 Feb 20.

Abstract

A patient, who underwent partial masseter muscle resection and mandibular angle reduction at a plastic surgery clinic, visited this hospital with major complaints of trismus and dysesthesia. A secondary angle formation due to a wrong surgical method was observed via clinical and radiological examinations, and the patient complained of trismus due to the postoperative scars and muscular atrophy caused by the masseter muscle resection. The need for a masseter muscle resection in square jaw patients must be approached with caution. In addition, surgical techniques must be carefully selected in order to prevent complications, and obtain effective and satisfactory surgery results.

摘要

一名患者在一家整形诊所接受了部分咬肌切除术和下颌角缩小术,因牙关紧闭和感觉异常的主要症状前来本院就诊。通过临床和影像学检查发现,由于手术方法错误导致了继发性角度形成,患者抱怨因咬肌切除术后的疤痕和肌肉萎缩而出现牙关紧闭。对于方脸患者进行咬肌切除术必须谨慎对待。此外,必须仔细选择手术技术,以防止并发症,并获得有效且令人满意的手术效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff5/5342973/15bcfdf56ff7/jkaoms-43-46-g001.jpg

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