Kết Quả Tạo Hình Thẩm Mỹ Cằm Lẹm Bằng Phương Pháp Cắt Trượt Cằm

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Tác giả: Văn Hóa Nguyễn, Phương Nam Trần, Cao Hoàng Phú Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2023

Mô tả vật lý: tr.122

Bộ sưu tập: Metadata

ID: 339151

Thêm vào giỏ Liên kết toàn văn

- Đặt vấn đề: Trong điều trị cằm lẹm, cắt trượt cằm là phương pháp được ủng hộ nhiều hơn vì tái tạo được cấu trúc giải phẫu của xương mang lại kết quả lâu dài, tỷ lệ biến chứng thấp. Nghiên cứu được thực hiện với mục tiêu đánh giá kết quả tạo hình thẩm mỹ cằm lẹm, các tai biến trong phẫu thuật và biến chứng sau phẫu thuật bằng phương pháp cắt trượt cằm tại khoa tạo hình thẩm mỹ của bệnh viện Nguyễn Tri Phương trong năm 2018-2020.- Phương pháp: Thiết kế nghiên cứu mô tả hàng loạt ca được thực hiện trên 22 người bệnh phẫu thuật cắt trượt cằm điều trị cằm lẹm từ tháng 01 năm 2018 đến tháng 9 năm 2020 tại khoa tạo hình thẩm mỹ của bệnh viện Nguyễn Tri Phương.- Kết quả: Sau phẫu thuật, các chỉ số trên mô mềm và trên xương đều thay đổi về gần với đường chuẩn. So với trước phẫu thuật, góc lồi mặt tăng 50, góc cổ cằm môi dưới giảm 22,60, chiều cao tầng mặt dưới tăng 5,4 mm, khoảng cách từ đường thẩm mỹ đến môi dưới giảm 3,1 mm và góc SND tăng 4,90. Có 95,5% trường hợp phẫu thuật có kết quả chung tốt, 4,5% trường hợp đạt kết quả trung bình. Tuy nhiên bệnh nhân gặp phải một số biến chứng sau phẫu thuật. Tất cả bệnh nhân đều bị phù nề trong 01 tuần sau phẫu thuật và 1 người bệnh bị rối loạn cảm giác, tuy nhiên các biến chứng này đều giảm dần và mất hẳn sau 3-6 tháng. Ngoài ra, có 4,5% người bệnh bị hở vết mổ thứ phát sau phẫu thuật 01 tuần.- Kết luận: Phương pháp phẫu thuật cắt trượt cằm để điều trị cằm lẹm là một kỹ thuật đơn giản nhưng hiệu quả rõ rệt, hầu hết bệnh nhân và gia đình đều hài lòng về kết quả điều trị. Abstract- Background: In the treatment of a receding chin, sliding genioplasty is the preferred method because it reconstructs the anatomical structure of the bone, provides longterm results, and has a low complication rate. Assessing the results of receding chin’s plastic surgery, as well as the complications during and after surgery through sliding genioplasty method at plastic surgery Department of Nguyen Tri Phuong hospital between 2018 and 2020.- Methods: The descriptive study was carried out to describes a chain of cases being examined on more than 22 patients after sliding genioplasty of receiding chin. This process took place from January 2018 until September 2020 in the Department of reconstructive plastic surgery in Nguyễn Tri Phương hospital.- Results: After the surgery, the indicators on soft tissue and bone both changed closer to the standard curve. Compared to the previous surgery, the convex angle of the face increased by 50, lower lip neck chin angle decreased by 22.60, height of the lower deck increased by 5.4 mm. Distance from cosmetic line to lower lip decreased by 3.1 mm, and SND angle increased by 4.90. There were 95.5 percent of cases had good outcomes, 4.5 percent of cases had average results. However, there were some complications after surgery. All the patients had edema for 1 month after surgery and 1 patient had sensory disturbances, yet these complications all decreased gradually and completely disappeared 3-6 months. Besides, there were 4.5 percent of patients had open secondary incision in 1 month afterward.- Conclusion: Sliding genioplasty method to treat receding chin is a simple technique but has an obvious effect, almost all patients and and families are content with the treatment results. However, after the surgeon, patients often suffer from edema and sensory processing disorder (SPD). DOI: 10.59715/pntjmp.1.1.16

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