Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Boston University School of Medicine, The Spiegel Center, Newton, Massachusetts, USA.
Curr Opin Otolaryngol Head Neck Surg. 2020 Aug;28(4):201-205. doi: 10.1097/MOO.0000000000000640.
Esthetic cranioplasty is an important part of facial feminization surgery. Additionally, it is an often underappreciated procedure for facial beautification. This chapter reviews current trends in esthetic cranioplasty for transgender women and others. Valuable techniques and innovations that do not advance the field are reviewed.
Although promoted in recent literature, among the key concepts discussed in this review are the limitations of cutting guides, the rare indications for preoperative imaging, and when burring the glabellar area is appropriate rather than doing a full osteoplastic flap setback.
Forehead feminization cranioplasty is a highly dependent upon the surgeon's artistic ability. Modeling and guides are potentially helpful for the novice surgeon but better is to learn appropriate anatomy for a more refined result.
美容性颅骨修补术是面部女性化手术的重要组成部分。此外，它也是一种经常被低估的面部美化手术。本章回顾了跨性别女性和其他人群的美容性颅骨修补术的当前趋势。我们回顾了一些没有推动该领域发展的有价值的技术和创新。
尽管在最近的文献中有所提及，但在本文讨论的关键概念中，包括切骨导板的局限性、术前影像学的罕见适应证，以及何时磨平额区合适而不是进行完整的骨瓣后退。
额部女性化颅骨修补术高度依赖于外科医生的艺术能力。对于新手外科医生来说，塑形和导板可能会有所帮助，但更好的方法是学习适当的解剖结构，以获得更精细的效果。
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