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整复外科手术—综述。

Genioplasty - A Review.

机构信息

Department of Oral and Maxillofacial Surgery, JSS Dental College and Hospital, Mysore, Karnataka, India.

出版信息

Niger J Clin Pract. 2024 Jun 1;27(6):683-695. doi: 10.4103/njcp.njcp_24_24. Epub 2024 Jun 29.

Abstract

Genioplasty, a key technique for dentofacial abnormalities, is essential for establishing facial harmony. This surgical procedure entails an osteotomy of the chin, which alters its three-dimensional location to restore overall face equilibrium. Modern genioplasty, which is frequently performed alone or in combination with rhinoplasty, facelifts, and orthognathic surgery, employs a variety of materials for chin augmentation, ranging from autologous to alloplastic. Recent improvements include porous graft materials such as high-density polyethylene. Despite the need for secure osteotomy segments, soft tissues around the mandible have a natural propensity to return to their original anatomical position. In the discipline of genioplasty, face esthetics and facial evaluation have been a prominent emphasis, with historical evidence emphasizing the relevance of the chin in harmony, balance, and character perception. Customized implants provide a single therapy for rare anatomical defects, generally with lower morbidity, making them critical for patients undergoing many procedures or suffering from syndromic disorders. Virtual surgical planning advances will continue to give dependable solutions for small and complex chin position issues. Modern surgeons will continue to combine history, anatomy, rigorous evaluation, excellent execution, and technological breakthroughs to achieve the best possible outcomes for their patients, raising their social standing.

摘要

正颌外科是一种治疗牙颌面畸形的关键技术,对于建立面部和谐至关重要。该手术需要进行下颌骨截骨术,以改变其三维位置,从而恢复整体面部平衡。现代的颏成形术通常单独进行,或与隆鼻术、面部提升术和正颌外科联合进行,采用各种材料进行颏部增宽,包括自体和异体材料。最近的改进包括使用多孔移植物材料,如高密度聚乙烯。尽管需要进行安全的截骨段,但下颌周围的软组织有自然的趋势回到其原始解剖位置。在颏成形术领域,面部美学和面部评估一直是一个突出的重点,历史证据强调了下巴在和谐、平衡和性格感知中的重要性。定制植入物为罕见的解剖缺陷提供了单一的治疗方法,通常具有较低的发病率,因此对于需要进行多种手术或患有综合征的患者来说至关重要。虚拟手术规划的进步将继续为小而复杂的颏部位置问题提供可靠的解决方案。现代外科医生将继续结合历史、解剖学、严格的评估、卓越的手术执行和技术突破,为患者取得最佳的治疗效果,从而提高他们的社会地位。

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