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颏成形术的当前概念:手术技术、适应症及未来展望。

Current concepts in genioplasty: surgical techniques, indications, and future perspectives.

作者信息

Lee Seungjun, Kim Baek-Kyu

机构信息

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Sungnam, Korea.

出版信息

Arch Craniofac Surg. 2025 Feb;26(1):1-4. doi: 10.7181/acfs.2025.00045. Epub 2025 Feb 20.

DOI:10.7181/acfs.2025.00045
PMID:40068622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11917404/
Abstract

Genioplasty is a crucial procedure in maxillofacial and craniofacial surgery for both aesthetic and functional chin correction. The procedure is performed using various techniques-including sliding genioplasty, advancement, setback, vertical augmentation, and narrowing genioplasty-with each approach offering specific benefits tailored to patient needs. Advances in virtual surgical planning, pre-bent absorbable plates, and three-dimensional printing technology have enhanced the precision of genioplasty, leading to improved functional and aesthetic outcomes. This review examines the historical evolution, contemporary techniques, clinical outcomes, and future directions of genioplasty, with a focus on technological advancements that increase procedural accuracy and patient satisfaction.

摘要

颏成形术是颌面和颅面外科中一项关键手术,用于进行美学和功能性的下巴矫正。该手术采用多种技术进行,包括滑动颏成形术、前移、后缩、垂直增高和缩窄颏成形术,每种方法都有针对患者需求的特定益处。虚拟手术规划、预弯可吸收接骨板和三维打印技术的进步提高了颏成形术的精度,从而改善了功能和美学效果。本综述探讨了颏成形术的历史演变、当代技术、临床结果和未来方向,重点关注提高手术准确性和患者满意度的技术进步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d26/11917404/2eb49b02ba1d/acfs-2025-00045f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d26/11917404/5398297734c9/acfs-2025-00045f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d26/11917404/2eb49b02ba1d/acfs-2025-00045f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d26/11917404/5398297734c9/acfs-2025-00045f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d26/11917404/2eb49b02ba1d/acfs-2025-00045f2.jpg

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本文引用的文献

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A Comprehensive Analysis of Genioplasty in Facial Feminization Surgery: A Systematic Review and Institutional Cohort Study.面部女性化手术中颏成形术的综合分析:一项系统评价和机构队列研究
J Clin Med. 2024 Dec 31;14(1):182. doi: 10.3390/jcm14010182.
2
Genioplasty - A Review.整复外科手术—综述。
Niger J Clin Pract. 2024 Jun 1;27(6):683-695. doi: 10.4103/njcp.njcp_24_24. Epub 2024 Jun 29.
3
Soft-Tissue Response following Genioplasty Combined with Anterior Segmental Osteotomy.颏成形术联合前节段骨切开术后的软组织反应。
Plast Reconstr Surg. 2024 Jan 1;153(1):54e-63e. doi: 10.1097/PRS.0000000000010505. Epub 2023 Apr 11.
4
Aesthetic Genioplasty Based on Strategic Categorization.基于策略分类的美容颏成形术
Plast Reconstr Surg. 2023 Oct 1;152(4):737-745. doi: 10.1097/PRS.0000000000010356. Epub 2023 Mar 7.
5
Genioplasty and Mandibular Implants.颏成形术和下颌植入物。
Facial Plast Surg. 2021 Dec;37(6):709-715. doi: 10.1055/s-0041-1735307. Epub 2021 Sep 16.
6
Case of Elongation of the under Jaw and Distortion of the Face and Neck, Caused by a Burn, Successfully Treated.一例因烧伤导致下颌伸长及面部和颈部变形的病例,治疗成功。
Am J Dent Sci. 1849 Jan;9(2):157-165.
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Genioplasty.颏成形术
Atlas Oral Maxillofac Surg Clin North Am. 2016 Mar;24(1):79-85. doi: 10.1016/j.cxom.2015.10.008.
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Aesthetic alteration of the chin.颏部美容整形。
Semin Plast Surg. 2013 Aug;27(3):155-60. doi: 10.1055/s-0033-1357113.
9
Narrowing and lengthening genioplasty with pedicled bone graft in contouring of the short and wide lower face.采用带蒂骨移植进行颏成形术的缩窄和延长,以塑造短宽下面部的轮廓。
Aesthetic Plast Surg. 2013 Feb;37(1):139-43. doi: 10.1007/s00266-012-0019-7. Epub 2013 Jan 8.
10
The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. II. Operating methods for microgenia and distoclusion.下颌前突和后缩伴颏成形术的手术矫正。II. 小颏畸形和远中错牙合的手术方法。
Oral Surg Oral Med Oral Pathol. 1957 Sep;10(9):899-909. doi: 10.1016/s0030-4220(57)80041-3.