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颌面整形二中心

  中国医学科学院整形外科医院颅颌面外科是我国历史最悠久的颅颌面外科之一。整形16科(颌面整形二中心)成立于2014年5月,是医院颅颌面外科下设四个中心中最朝气蓬勃的队伍。作为国家重点学科的骨干科室、国家继续教育颌面外科培训基地,技术力量雄厚,团队成员积极上进,是一支充满活力和实力的队伍。

  “并驾齐驱,各善其美”。整形16科不仅仅局限于正颌外科、颅颌面外科及颌面美容外科手术,亦关注颌面外科和美容外科的有效结合,打造三维且立体的美感。本科室强调人才梯队建设,拥有一支配合精良的医、教、研团队,拥有主任医师2名,副主任医师2名,主治医师2名,住院医师3名,均具有博士学位,是一支老中青结合、结构合理的高素质团队。其中7名医生曾赴美国UCLA、哈佛大学、西南医学中心、密歇根医疗中心等机构访问学习,将世界前沿的医疗理念带回国内,紧跟世界学术前沿,具有最新的整形美容理念。

  临床方面,本科室每年完成各项整形与美容手术2500余台。科室除了广泛开展面部软组织及骨组织美容整形外科手术之外,还大力开展高精尖的颅颌面外科整形修复手术,如开颅治疗诸如Crouzon综合征、Apert综合征等额眶前移及Lefort3型截骨前移,应用各种显微外科皮瓣如股前外侧皮瓣、肩胛皮瓣、TRAM、DIEP等皮瓣修复头面部各种特发性及创伤后畸形,尤其是利用股前外侧皮瓣修复半侧颜面萎缩等高难度手术。科室祁佐良教授创建的利用游离腹内斜肌瓣一期血管神经吻合治疗面瘫是国际上首创的面瘫动力性恢复手术。2018年,我中心主任靳小雷教授赴中南大学湘雅三医院整形外科为一名特重度眶距增宽症患儿完成了矫正术。此次手术采用的颅内-颅外联合径路“盒状”截骨及畸形鼻整形术,是整复外科领域最复杂、难度最大的手术之一,系中南地区首例此类手术。

  科研教学方面,本科室有2名博导,1名硕导,承担北京协和医学院的研究生教学、科研工作。曾承担并参与国家自然基金项目4项、国家临床重点学科建设项目子课题及院所基金等多项课题的研究,并培养博士研究生20余名,硕士研究生20余名。在国际期刊发表SCI论文 100余篇,中文核心期刊论文100余篇。

  综上所述,整形16科(颌面整形二中心)是中国一流的整形美容外科团队,可以为广大爱美及整复人士提供优质、可靠的医疗服务。


  科室相关文章:

  部分以第一作者或通讯作者发表的代表性论著如下(篇幅受限仅列部分论著)

  一、颅颌面外科

  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、修复重建外科

  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、基础科研类文章

  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.面部轮廓截骨手术(颧骨颧弓下颌角、颏);

  2.应用游离股前外侧皮瓣及个性化钛板修复外伤导致的额部组织缺损;

  3.应用游离股前外侧脂肪筋膜瓣修复半侧颜面萎缩;

  4.根尖下截骨整形联合颏部水平截骨前移治疗上颌前突、小颏畸形;

  5.额眶前移术及Lefort3型截骨牵引治疗治疗Crouzon综合征短头畸形;

  6.上颌Lefort1型截骨,下颌升支矢状劈开截骨后退治疗下颌前突畸形;

  7.全颜面除皱术;

  8.重睑术;

  9面部胸部脂肪注射。


  科室动态:

  宗宪磊副主任医师赴美国西南医学中心访学中;

  杨晓楠副主任医师哈佛医学中心访学归来;

  都乐主治医师密歇根医学中心访学归来。

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诊疗范围

  1.颅颌面外科:计算机辅助设计面部轮廓(下颌角、颧骨颧弓、下巴)美容整形,正颌外科(地包天、偏颌、尖嘴,上颌后缩等),颅颌面创伤后整复、面部不对称畸形整复、半侧颜面萎缩畸形矫正、颅颌面各种先天畸形(Crouzon综合征、Apert综合征、Treacher-collins综合征、眶距增宽症、半侧颜面短小、面裂等)的颅面部整复。

  2.修复重建外科:扩张器治疗瘢痕、唇腭裂修复、体表肿瘤(黑痣、血管瘤等)、眼鼻畸形整复、面部复杂畸形整复、面瘫一期动力修复。擅长显微外科皮瓣修复各种复杂软组织缺损及畸形和体表器官再造。

  3.面部美容外科:眼整形(双眼皮、开眼角、失败重睑修复、上睑下垂矫正)、隆鼻、鼻综合整形,隆下巴、面部年轻化(除皱手术)、眼周年轻化(切眉、眼袋)、瘦脸(手术及注射)、双下巴整形、微创注射美容。

  4.脂肪移植与体形重塑:自体脂肪填充额头、太阳穴、泪沟、面颊、鼻、唇、下巴,自体脂肪隆乳,吸脂瘦身、丰胸、提臀、腹壁整形、微创附乳切除等。

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