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    顱頜面整形四科

      中國醫學科學院整形外科醫院顱頜面整形四科是我國歷史最悠久的顱頜面外科之一。成立于2014年5月,是醫院顱頜面外科下設四個中心中最朝氣蓬勃的隊伍。作為國家重點學科的骨干科室、國家繼續教育頜面外科培訓基地,技術力量雄厚,團隊成員積極上進,是一支充滿活力和實力的隊伍。

      “并駕齊驅,各善其美”。整形16科不僅僅局限于正頜外科、顱頜面外科及頜面美容外科手術,亦關注頜面外科和美容外科的有效結合,打造三維且立體的美感。本科室強調人才梯隊建設,擁有一支配合精良的醫、教、研團隊,擁有主任醫師2名,副主任醫師2名,主治醫師2名,住院醫師3名,均具有博士學位,是一支老中青結合、結構合理的高素質團隊。其中7名醫生曾赴美國UCLA、哈佛大學、西南醫學中心、密歇根醫療中心等機構訪問學習,將世界前沿的醫療理念帶回國內,緊跟世界學術前沿,具有最新的整形美容理念。

      臨床方面,本科室每年完成各項整形與美容手術2500余臺??剖页藦V泛開展面部軟組織及骨組織美容整形外科手術之外,還大力開展高精尖的顱頜面外科整形修復手術,如開顱治療諸如Crouzon綜合征、Apert綜合征等額眶前移及Lefort3型截骨前移,應用各種顯微外科皮瓣如股前外側皮瓣、肩胛皮瓣、TRAM、DIEP等皮瓣修復頭面部各種特發性及創傷后畸形,尤其是利用股前外側皮瓣修復半側顏面萎縮等高難度手術??剖移钭袅冀淌趧摻ǖ睦糜坞x腹內斜肌瓣一期血管神經吻合治療面癱是國際上首創的面癱動力性恢復手術。2018年,我中心主任靳小雷教授赴中南大學湘雅三醫院整形外科為一名特重度眶距增寬癥患兒完成了矯正術。此次手術采用的顱內-顱外聯合徑路“盒狀”截骨及畸形鼻整形術,是整復外科領域最復雜、難度最大的手術之一,系中南地區首例此類手術。

      科研教學方面,本科室有2名博導,1名碩導,承擔北京協和醫學院的研究生教學、科研工作。曾承擔并參與國家自然基金項目4項、國家臨床重點學科建設項目子課題及院所基金等多項課題的研究,并培養博士研究生20余名,碩士研究生20余名。在國際期刊發表SCI論文 100余篇,中文核心期刊論文100余篇。

      綜上所述,顱頜面整形四科是中國一流的整形美容外科團隊,可以為廣大愛美及整復人士提供優質、可靠的醫療服務。


      科室相關文章:

      部分以第一作者或通訊作者發表的代表性論著如下(篇幅受限僅列部分論著)

      一、顱頜面外科

      1. Yang F, Jin X, et al. A Novel Technique Using W-Shaped Steel Wire Suspension System to Improve the Stability of Rigid External Distraction Devise in a Child With Apert Syndrome.J Craniofac Surg. 2019 Oct;30(7):e639-e643. 

      2. Zhang D, Jin X, et al. Comparison of Bilateral Mandibular Angle Ostectomy Between East Asian Males and Females: A Study Based on Three-Dimensional Computed Tomography Reconstruction. Aesthetic Plast Surg. 2020 Jun;44(3):862-871. 

      3. Lai C, Jin X, Zong X, Song G.En-Bloc U-Shaped Osteotomy of the Mandible and Chin for the Correction of a Prominent Mandibular Angle With Long Chin.J Craniofac Surg. 2019 Jan   3. doi: 10.1097/SCS.0000000000005126.

      4. Song G, Jin X, et al. Simultaneous Surgery of Mandibular Reduction and Impacted Mandibular Third Molar Extraction: A Retrospective Study of 65 Cases. Medicine (Baltimore). 2020 Apr;99(15):e19397. 

      5. Zhou J, Jin X, et al. Simultaneous Surgery for Contouring the Prominent Zygoma and Mandibular Angles With Facelift in Middle-Aged Patients. J Craniofac Surg.2020 Mar/Apr;31(2):448-452.

      6. Song G, Zong X, Guo X, Zhao J, Jin X. Single-Stage Mandibular Curved Ostectomy on Affected Side Combined with Bilateral Outer Cortex Grinding for Correction of Facial Asymmetry: Indications and Outcomes.Aesthetic Plast Surg. 2019 Apr 12. doi: 10.1007/s00266-019-01364-y.

      7. Zhang C, Jin XL,et al. Single stage surgery for contouring the prominent mandibular angle with a broad chin deformity: En-bloc Mandibular Angle-Body-Chin Curved Ostectomy (MABCCO) and Outer Cortex Grinding (OCG).J Craniomaxillofac Surg. 2014 Oct;42(7):1225-33.

      8. Yu P, Jin X, et al. Strategies of Mandibular Revision: A Retrospective Study of Revisional Mandibular Surgery for Unaesthetic Results of Previous Mandibular Reduction. Aesth Plast Surg.2018 Dec;42(6):1609-1617.

      9. Zhao J, Jin X, Teng L ,et al. Strategy to minimize oral mucosal tear and lip injury in facial contouring and orthognathic surgery. J Craniofac Surg. 2013 Sep;24(5):e485-6. 

      10. Yang F, Jin X, et al. The Relationship Between the Facial Proportion Changes in Hard Tissue and the Satisfaction of Patients After Reduction Malarplasty: A Research Based on Three-Dimensional Cephalometry. Aesthetic Plast Surg. 2020 Jun;44(3):750-763.

      11. Zhou J, Jin X, et al. Unexpected Total Zygomatic Arch Bone Resorption Induced by Reduction Malarplasty. J Craniofac Surg. 2019 Oct;30(7):2211-2213.

      12. Zhao J, Song G, Zong X, Yang X, Du L, Guo X, Lai C, Qi Z, Jin X.Volumetric mandibular change after angle ostectomy and outer cortex grinding.J Craniomaxillofac Surg. 2018 Mar;46(3):432-437.

      二、美容外科

      1.Zhao J, Jin XL,et al. A Modified Method Combining Z-Epicanthoplasty and Blepharoplasty to Develop Out-Fold Type Double Eyelids.Aesthetic Plast Surg. 2016 Feb;40(1):48-53. 

      2.Guo X, Song G, Zong X, Jin X.Bone Resorption in Mentum Induced by Unexpected Soft-Tissue Filler.Aesthet Surg J. 2018 Sep 14;38(10):NP147-NP149.

      3.Guo X, Jin X, et al. Efficacy of Botulinum Toxin Type A in Improving Scar Quality and Wound Healing: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Aesthet Surg J. 2020 Apr 14;40(5):NP273-NP285.

      4.Zhou J, Jin X, et al. Minimally Invasive Conjoint Fascial Sheath Suspension for Blepharoptosis Correction. Aesthetic Plastic Surgery. 2019 Aug;43(4):956-963.

      5.Zhou J, Qi Z, Jin X. Modification of Rhytidectomy: Stepped Lift of the Superficial Musculoaponeurotic System.J Craniofac Surg. 2019 Apr 2. doi: 10.1097/SCS.0000000000005471.

      6.Zhang C, Guo X, Han X, Tian Y, Jin X.Six-Position, Frontal View Photography in Blepharoplasty: A Simple Method. Aesthetic Plast Surg. 2018 Oct;42(5):1312-1319.

      7.Zhao J, Jin X, et al. Surgical outcome and patient satisfaction after Z-epicanthoplasty and blepharoplasty. Int J Ophthalmol. 2018 Dec 18;11(12):1922-1925.  

      8.Zhao J, Jin X, et al. The Anatomy and Clinical Application of Preorbital Septum Fiber. Aesthet Surg J. 2020 May 16;40(6):597-602.

      三、修復重建外科

      1.Teng L*, Jin XL*, Wu G, et al. Correction of hemifacial atrophy using free anterolateral thigh adipofascial flap. J Plast Reconstr Aesthet Surg.2010;63(7):1110-6.

      2.Jin X, Teng L, Zhang C, Xu J, et al. Reconstruction of partial-thickness vermilion defects with a mucosal V-Y advancement flap based on the orbicularis oris muscle. J Plast Reconstr Aesthet Surg. 2011,64(4) 472-6. 

      3.Jin XL, Teng L, Zhao M, et al. Reconstruction of cicatricial microstomia and lower facial deformity by windowed, bipedicled deep inferior epigastric perforator flap. Ann Plast Surg. 2009;63(6):616-20.

      4.Zhao J, Jin XL,et al. Salvage Free Anterolateral Thigh Composite Flap Transfer Based on the Musculocutaneous Perforator Retrograde Blood Flow Principle.J Craniofac Surg. 2016 Mar;27(2):e178-81.

      5.Zhou J, Jin X, et al. Surgical Correction for Patients With Port-Wine Stains and Facial Asymmetry. J Cosmet Dermatol.2020 Apr 19.  doi: 10.1111/jocd.13415

      6.Jin XL, Teng L, Lu JJ ,et al. Upper lip vermilion reconstruction with a modified cross-lip vermilion flap a in hemifacial atrophy. J Plast Reconstr Aesthet Surg.2013,66,e101-6. 

      7.Zhao J, Song G, Zong X, Yang X, Du L, Guo X, Lai C, Qi Z, Jin X.Using the Reversed Temporal Island Flap to Cover Small Forehead Defects from Titanium Mesh Exposure After Cranial Reconstruction.World Neurosurg. 2018 Apr;112:e514-e519.

      8.Jin XL, Teng L, Xu J, et al. Anterolateral thigh adipofascial flap for the restoration of facial contour deformities. Microsurgery. 2010;30(5):368-75.

      四、基礎科研類文章

      1. Lai C, Song G, Zhao B, Wang H, Pan B, Guo X, Jin X, Zong X.Preparation and characterization of human scar acellular dermal matrix.J Biomater Sci Polym Ed. 2019 Apr 5:1-14.

      2. Song G, Guo X, Zong X, DU L, Zhao J, Lai C, Jin X.Toxicity of functionalized multi-walled carbon nanotubes on bone mesenchymal stem cell in rats.Dent Mater J. 2019 Feb 8;38(1):127-135.

      3. Zong X, Jin X, et al. Phage Display, Peptide Production and Biological Assessment of Key Sequence of TGF-β1. nternational Journal of Peptide Research and Therapeutics volume 25, 1217–1223(2019)

      4. Yu P, Jin X, et al. Phage?Displayed Peptide of Keratinocyte Growth Factor and Its

    Biological Effects on Epidermal Cells. International Journal of Peptide Research and Therapeutics volume 26, 661–666(2020).

      5. Guo X, Jin X, et al. The Implication of the Notch Signaling Pathway in Biphasic Calcium Phosphate Ceramic-Induced Ectopic Bone Formation: A Preliminary Experiment. J Biomed Mater Res A. 2020 May;108(5):1035-1044.


      科室典型病例(靳小雷主任提供):

      1.面部輪廓截骨手術(顴骨顴弓下頜角、頦);

      2.應用游離股前外側皮瓣及個性化鈦板修復外傷導致的額部組織缺損;

      3.應用游離股前外側脂肪筋膜瓣修復半側顏面萎縮;

      4.根尖下截骨整形聯合頦部水平截骨前移治療上頜前突、小頦畸形;

      5.額眶前移術及Lefort3型截骨牽引治療治療Crouzon綜合征短頭畸形;

      6.上頜Lefort1型截骨,下頜升支矢狀劈開截骨后退治療下頜前突畸形;

      7.全顏面除皺術;

      8.重瞼術;

      9面部胸部脂肪注射。


      科室動態:

      宗憲磊副主任醫師赴美國西南醫學中心訪學中;

      楊曉楠副主任醫師哈佛醫學中心訪學歸來;

      都樂主治醫師密歇根醫學中心訪學歸來。

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    診療范圍

      1.顱頜面外科:計算機輔助設計面部輪廓(下頜角、顴骨顴弓、下巴)美容整形,正頜外科(地包天、偏頜、尖嘴,上頜后縮等),顱頜面創傷后整復、面部不對稱畸形整復、半側顏面萎縮畸形矯正、顱頜面各種先天畸形(Crouzon綜合征、Apert綜合征、Treacher-collins綜合征、眶距增寬癥、半側顏面短小、面裂等)的顱面部整復。

      2.修復重建外科:擴張器治療瘢痕、唇腭裂修復、體表腫瘤(黑痣、血管瘤等)、眼鼻畸形整復、面部復雜畸形整復、面癱一期動力修復。擅長顯微外科皮瓣修復各種復雜軟組織缺損及畸形和體表器官再造。

      3.面部美容外科:眼整形(雙眼皮、開眼角、失敗重瞼修復、上瞼下垂矯正)、隆鼻、鼻綜合整形,隆下巴、面部年輕化(除皺手術)、眼周年輕化(切眉、眼袋)、瘦臉(手術及注射)、雙下巴整形、微創注射美容。

      4.脂肪移植與體形重塑:自體脂肪填充額頭、太陽穴、淚溝、面頰、鼻、唇、下巴,自體脂肪隆乳,吸脂瘦身、豐胸、提臀、腹壁整形、微創附乳切除等。

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