同时减小膜整形和减小膜整形:减少膜增生,增加大
Panxi Yu1, Qian Wu2, Mengdie Wei3
1Center of Craniomaxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, People's Republic of China.
Aesthetic plastic surgery
|February 9, 2026
概括
同时的减小膜整形术与肌弧升高减少了减小膜整形术后的masseter肌肉加厚和下腺增生,改善了美观结果. 这种结合的方法比单独进行下巴整形提供了更好的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 面外科手术 面外科手术
- 整形外科美容手术 整形外科美容手术
背景情况:
- 骨质过度增生后减少膜整形可能需要修复手术.
- 马塞特肌肉缩是手术后下增生的一个关键因素.
- 临床观察表明,将减小膜整形与腹肌升高相结合可能会减轻膜积累和随后的下增生.
研究的目的:
- 评估减少膜整形术后同时进行缩小膜整形术的有效性,以防止肌肉积累和膜增大后减少膜整形术.
- 为了比较接受组合手术的患者与单独进行减小下巴整形手术之间的结果.
主要方法:
- 从2015年9月到2024年4月对患者的回顾性审查.
- 分析计算机断层扫描数据以测量下体积变化 (手术前,手术后,随访).
- 计算切除和再生的下骨体积,按摩器厚度和骨升高距离.
主要成果:
- 组合手术组 (n=52) 与单次手术组 (n=35) (2.70 ± 1.10 mm) 相比,显示了显著较小的masseter加厚 (0.89 ± 1.21 mm).
- 单次手术组经历了更严重的体加厚和下腺增生.
- 马塞特厚与下切除体积正相关,而下增生与马塞特厚正相关.
结论:
- 同时的减小膜整形术与肌弧升高有效地减少了体冗余和下增生.
- 这种结合的外科手术方法,利用支架技术与肌节门升高,可以提高减少膜整形的美学效果.
- 建议考虑同时进行手术,以改善面轮的结果.
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