Maxillo-Facial Surgery Department, Hôpital de la Croix Rousse, 103 Grande Rue de la Croix-Rousse, 69004 Lyon, France.
Plastic and Reconstructive Surgery Department, Hôpital de la Croix Rousse, 103 Grande Rue de la Croix-Rousse, 69004 Lyon, France.
J Stomatol Oral Maxillofac Surg. 2022 Apr;123(2):257-261. doi: 10.1016/j.jormas.2021.03.006. Epub 2021 Mar 31.
Mandibular angle resection is an important procedure in facial feminization surgery. Two different approaches are described: trans-oral and cervico-facial lift (CFL) approaches. The aim of the study was to compare surgical outcomes and patient's satisfaction between the two approaches.
We retrospectively analyzed medical charts of patients who underwent mandibular angle resection in the same center by the same surgeon between 2017 and 2019. Aesthetic and functional results were objectively assessed using serial photographs and subjectively with patient self-assessments. All patients benefited from a medical consultation at least 6 months after the surgery.
Seven patients benefited from trans-oral approach and 14 from CFL approach. The mean age was 42. No major complications occurred. No long-term nerve damage was found. Aesthetic evaluation showed mostly an improved result. All patients answered positively to the quality of life survey.
These preliminary results of the study suggest that mandibular angle resection is a much-needed and safe surgical procedure regardless of the surgical approach. Patients who underwent facial feminization surgery frequently present a mixed indication of CFL and mandibular angle resection. The study is limited by the low number of patients included. Moreover, interpretation of results is biased because the patients benefited from other minor facial cosmetic procedures in the same surgery. We reported the first analysis of transgender patient's satisfaction concerning mandibular angle resection. This procedure improves quality of life as well as facial aesthetics for transgender patients.
下颌角切除术是面部女性化手术中的重要程序。有两种不同的方法：经口途径和颈面提升术（CFL）途径。本研究旨在比较两种方法的手术效果和患者满意度。
我们回顾性分析了 2017 年至 2019 年间在同一中心由同一位外科医生进行的下颌角切除术的患者病历。使用连续照片客观评估美容和功能结果，并通过患者自我评估进行主观评估。所有患者均在手术后至少 6 个月接受了医疗咨询。
7 例患者受益于经口途径，14 例患者受益于 CFL 途径。平均年龄为 42 岁。没有发生重大并发症。没有发现长期神经损伤。美学评估显示大多数结果得到改善。所有患者对生活质量调查均回答肯定。
无论采用哪种手术途径，下颌角切除术都是一种非常需要且安全的手术程序，这是本研究的初步结果提示。接受面部女性化手术的患者通常存在 CFL 和下颌角切除术的混合指征。该研究受到纳入患者数量少的限制。此外，由于患者在同一手术中受益于其他较小的面部美容手术，因此对结果的解释存在偏差。我们报告了对跨性别患者下颌角切除术满意度的首次分析。该手术可改善跨性别患者的生活质量和面部美学。
