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论文摘要

不对称性下颌角肥大的手术治疗

Treatment of the Asymmetric Prominent Mandibular Angle

作者:黄绿萍,归来,张智勇,滕利,牛峰

Author:HUANGLü-ping1,GUILai2,ZHANG Zhi-yong2,TENGLi2, NIUFeng2

收稿日期:2004-02-25          年卷(期)页码:2004,22(01):40-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:下颌角肥大,下颌角弧形截骨术,下颌骨外板截骨术,颏成形术,颊脂垫取出术,

Key words:prominentmandibular angle,osteotomy of the mandibular angle,osteotomy of the outer cortex of mandible, genioplasty,buccal pad excision,

基金项目:

中文摘要

目的 探讨不对称性下颌角肥大的原因及手术治疗。方法 采用下颌角弧形截骨术、下颌骨外板截骨术、颏成形术及颊脂垫取出术等方法,治疗不对称性下颌角肥大患者70例。结果 70例患者术后面部对称性均明显改善。70例患者中仅3例出现并发症,包括术后出血、口唇拉伤增生性瘢痕及术后感染等。结论 治疗不对称性下颌角肥大应根据畸形的特点,选择性应用下颌角弧形截骨术、下颌骨外板截骨术、颏成形术及颊脂垫取出术等方法,其效果良好。

英文摘要

Objective To investigate the causes and treatment of the asymmetric prominent mandibular angle.Methods From 1996 to 2001, mandibular angle osteotomy, mandibular outer cortex osteotomy, mandible,genioplasty and buccal pad exci- sion were selected to treat 70 patients.Results All the patients had satisfactory results with complications of bleeding, infection and labial scar in three patients.Conclusion asymmetric prominent mandibular angle should be treated according to the charac- teristics of the deformity. Mandibular angle osteotomy, osteotomy of outer cortex of the mandible, genioplasty and bucal pad exci- sion can provide satisfactory result.

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