Endoscopic-Assisted Intraoral Three-Dimensional Reduction Mandibuloplasty.

摘要: BACKGROUND Oriental people have a square face with prominent mandibular angle, which means masculine and coarse is considered to be an unappealing feature. Reduction mandibuloplasty has become popular in the orient past 2 decades, operation was frequently performed through intraoral approach. But invisible angle forces surgeon perform blind ostectomy leads difficulty performing accurate as planned, leaving unnatural contours severe complications. METHODS From January 2010 2013, total of 112 patients angles underwent one-stage long-curved combined splitting corticectomy approach endoscopic assistance for reduction lower face. A retractor adjustable endoscope provides clear operative field; line marked. The were following marked using oscillating saw various degrees length under direct vision. RESULTS Mandibular contouring 3-dimensionally refined; width reduced frontal view appeared natural inconspicuous lateral view. majority satisfied both their appearances. gonial plane increased effectively. No major complications such fracture or facial nerve injury occurred. CONCLUSIONS Intraoral allows surgeons accurate, safe, reproducible ostectomies recontour mandible 3-dimensionally, can make look thinner from and, view, keeps it more looking smooth ostectomized borders.