[fusion_builder_container background_color=”#f1f1f1″ background_image=”/wp-content/uploads/2015/03/drops-on-leaf-wallpaper-1024×640222.jpg” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0px” padding_right=”0px” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-top-banner”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]
鼻唇溝填補術Para-Nasal Implant
[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]假體植入是改善骨骼性鼻唇溝凹陷的根本辦法, 其改善的程度平均可以到達70~80%左右. 目前莊醫師常用的材料選擇為人工骨(Medpor)與Goretex, 一般輕微的凹陷使用Goretex填充即已足夠, 但如果是既寬且深的鼻唇溝凹陷, 那就必須選擇材質更加堅固且厚實的人工骨來填補, 其效果也會較為顯著. 無論患者選擇上述任一材料植入, 其手術的切口都在口內的上牙齦處, 進行方式則會在齒槽上方切開一個約1.5cm的傷口, 經此切口進入將鼻唇溝凹陷處附近的皮膚與骨骼撥離開後, 即可將裁切過後的Goretex植入於骨膜下空間並讓其貼合於骨頭凹陷處上, 大約經過一個月的時間即能完全固定. 而若使用人工骨則除了需要先切削與雕塑出合適的形狀跟大小植入外, 另需以骨釘將其固定在患處, 以避免日後的移位, 至於其恢復期則比Goretex植入來得短, 大約只需一週的時間即可穩定牢固了。
此手術的目的主要是針對結構性(骨性)的鼻唇溝凹陷做矯正, 但如果患者合併了皮膚鬆垮等老化性的法令紋問題, 可能還需輔助其他注射治療如玻尿縮或是自體脂肪填充, 甚至是中臉部的拉提等手術, 才能達到全面性的改善。[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible” margin_top=”20px” margin_bottom=”20px” background_color=”rgba(255,255,255,0)”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_separator style_type=”none” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”0″ padding_bottom=”0″ padding_left=”0″ padding_right=”0″ hundred_percent=”yes” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-content”][fusion_builder_row][fusion_builder_column type=”1_2″ last=”no” spacing=”no” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”solid” padding=”0″ margin_top=”” margin_bottom=”” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=”bd-right”][fusion_text]
手術內容
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手術時間
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- 麻醉方式: 舒眠+神經阻斷麻醉
- 手術切口: 口內上牙齦處兩側約1.5cm傷口
- 恢復期: 7~10天
- 拆線: 無
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注意須知
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手術前需禁食與水
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- 術後一週內須盡量避免過度說話或頻繁飲食
- 術後一個月內須禁菸, 酒與刺激性食物, 並避免劇烈或過度之運動
- 術後兩個月內須避免唱歌或大笑等過度張嘴動作
- 術後三個月內須避免用力按摩或擠壓臉部
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適應對象
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- 先天性(骨性)鼻唇溝凹陷者
- 骨性暴牙合併中臉凹陷者
- 嚴重或寬闊的鼻唇溝凹陷者
- 鼻唇溝合併法令紋凹陷明顯者
- 無法以透明質酸或自體脂肪注射解決問題者
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可能併發症
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- 傷口癒合不良
- 假體移位
- 假體露出
- 排斥或發炎
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手術優點
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從根本結構改善鼻唇溝凹陷並可預防法令紋加深
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從深層部位填充鼻唇溝凹陷, 效果自然不露痕跡
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有效改善齒顎突出等骨骼性鼻唇溝問題
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手術效果穩定且持久
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傷口在嘴巴內不見疤痕
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手術缺點
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可能發生異物植入的併發症如排斥或移位
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口內傷口如癒合不佳可能發生假體露出或感染
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如過度矯正可能改變嘴型或笑容
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上唇可能有暫時性的麻木感或異物感
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可合併手術
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鼻唇溝填補材料比較
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| Goretex | 人工骨(Medpor) | |
|---|---|---|
| 適應對象 | 輕度鼻唇溝凹陷 | 中度與嚴重的鼻唇溝凹陷, 骨性暴牙 |
| 手術切口 | 上牙齦處 | 上牙齦處 |
| 麻醉方式 | 舒眠+局部麻醉 | 舒眠+局部麻醉 |
| 材質特性 | 較軟 | 硬 |
| 骨釘固定 | 無 | 需要 |
| 感染風險 | 低 | 低 |
| 移位可能 | 低 | 無 |
| 傷口癒合 | 快 | 較慢 |
| 取出還原 | 簡單 | 較為困難 |
| 手術效果 | 持久 | 持久 |
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手術成果
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