摘要
目的观察唇角黏膜内入路矫正下垂唇角的效果。方法回顾性纳入2019年3月至2021年12月北京清木医疗美容诊所56例接受下垂唇角矫正手术的患者,其中女47例,男9例,年龄19~62岁。所有患者均接受唇角黏膜内侧手术入路,采用部分或全部离断降口角肌及纤维束的手术方法,并悬吊唇角口轮匝肌至新的唇角点。术后随访12个月,比较术前及术后患者唇角上扬角度及口裂宽度,评估患者满意度,记录不良反应发生率。结果56例患者均顺利完成手术,肿胀消退时间为3~10 d,术区瘢痕增生消退时间为术后1~3个月,唇角自然度在2~4个月内恢复。其中7例(12.5%)认为上扬矫正不足,5例(8.9%)认为没有改善,8例(14.3%)认为双侧不对称。术后患者的唇角上扬角度、口裂宽度较术前均增加(均P<0.001)。患者满意48例(85.7%),有效但不够满意5例(8.9%),不满意3例(5.4%)。所有患者均未出现感染、血肿、切口裂开、歪嘴、闭口障碍等不良反应。结论唇角黏膜内入路矫正下垂唇角安全有效。
Objective To observe the effect of the intramucosal approach to the labial corner to correct the drooping lip angle.Methods A retrospective analysis was performed for 56 patients who underwent sagging labial corner correction surgery at Beijing Qingmu Medical Aesthetic Clinic from March 2019 to December 2021,including 47 females and 9 males,aged 19-62 years.All patients underwent an intramucosal approach to the labial corner with partial or total dissection of the descending angular muscles and fibrous bundles,and suspension of the orbicularis oculi muscle of the labial corner to a new labial angle.After 12 months of follow-up,the angle of lip corner elevation and the width of the mouth cleft were compared before and after surgery,the satisfaction of patients was evaluated,and the incidence of adverse reactions was recorded.Results All 56 patients successfully completed the operation,and the swelling subsided in 3-10 days,the scar hyperplasia in the operative area regressed in 1-3 months after surgery,and the naturalness of lip corners recovered within 2-4 months.Among them,7 patients(12.5%)thought that the upward correction was insufficient,5 cases(8.9%)thought that there was no improvement,and 8 cases(14.3%)thought that there was bilateral asymmetry.The angle of lip angle and the width of the mouth cleft both increased compared with those before operation(all P<0.001).Forty-eight patients(85.7%)were satisfied,5 patients(8.9%)were effective but not satisfactory,and 3 patients(5.4%)were dissatisfied.All patients did not have adverse reactions such as infection,hematoma,incision dehiscence,crooked mouth,and mouth closure disorder.Conclusion The intramucosal approach to the lip corner is safe and effective in correcting the drooping lip angle.
作者
张曼
姚然
李林蔓
Zhang Man;Yao Ran;Li Linman(Department of Plastic Surgery,Beijing Qingmu Medical Beauty Clinic,Beijing 100010,China)
出处
《中华医学美学美容杂志》
2025年第2期180-183,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
下垂
唇角
黏膜内入路
口周年轻化
唇角提升
Ptosis
Labial conner
Intramucosal approach
Perioral rejuvenation
Lip angle lifting
