Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University, Jinju, Republic of Korea; Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University, Jinju, Republic of Korea.
Int J Oral Maxillofac Surg. 2020 Mar;49(3):310-316. doi: 10.1016/j.ijom.2019.06.026. Epub 2019 Jul 26.
The endoscope-assisted hairline approach is becoming a preferred technique in several surgical disciplines because of its advantage of good cosmetic outcomes. However, such operations are not yet standard for benign lesions in the maxillofacial area due to the anatomical complexity of this region. This study describes an endoscope-assisted technique for resecting benign lesions in the maxillofacial area via a hairline approach. The clinical outcomes with this approach were compared to those obtained with the conventional transcutaneous approach. Benign maxillofacial lesions were excised via endoscope-assisted hairline approach in 27 patients and via transcutaneous approach in 28 patients. Clinical outcomes and complications related to the procedures were evaluated; the primary outcome was the efficacy of the procedure and the secondary outcome was cosmetic satisfaction. There were no significant differences with respect to overall demographic characteristics between the groups, although the operation time was longer for the hairline approach (P=0.001). Cosmetic satisfaction showed much better results for the hairline approach (P=0.001). Endoscope-assisted excision of benign maxillofacial lesions via the hairline approach is a feasible method with excellent cosmetic results.
内窥镜辅助发际线入路在多个外科领域中成为一种受欢迎的技术，因为它具有良好的美容效果优势。然而，由于该区域的解剖结构复杂，对于颌面良性病变，此类手术尚未成为标准。本研究描述了一种通过发际线入路内窥镜辅助切除颌面良性病变的技术。将该方法的临床结果与传统经皮入路的结果进行了比较。27 例患者通过内窥镜辅助发际线入路，28 例患者通过经皮入路切除颌面良性病变。评估了与手术相关的临床结果和并发症；主要结果是手术的疗效，次要结果是美容满意度。两组患者的总体人口统计学特征无显著差异，尽管发际线入路的手术时间更长（P=0.001）。美容满意度方面，发际线入路的结果要好得多（P=0.001）。通过发际线入路内窥镜辅助切除颌面良性病变是一种可行的方法，具有极好的美容效果。
