【作者】 王渭滨；

【导师】 柳大烈；

【作者基本信息】 第一军医大学 ， 外科学， 2006， 博士

【摘要】 1．研究背景 面部轮廓整形美容外科属于颅颌面外科学的一部分，是按照法国整形外科学家Tessier于1960年代后期创立的颅颌面外科学的基本原则和方法，通过外科手术和非手术的方法对构成面部形态的骨性结构和软组织成分进行重新的排列组合和固定，达到修复面部轮廓的先天或后天畸形，重塑略有瑕疵的面部形态的目的。这种把修复严重颅颌面畸形的方法用于对面部轮廓的美化重建的方法，由于满足了广大美容受术者们对于面部轮廓美的强烈需求而在上个世纪以来的短短几十年间就得到了突飞猛进的发展。 计算机技术，特别是计算机图像处理和图像测量技术的进步，使得通过计算机来对面部轮廓整形美容外科患者的图像资料进行测量和分析成为可能。计算机辅助图像测量分析可以为整形外科医生提供一个相对精确的术前判断和数字化的手术设计方案和标准，使得面部轮廓美容手术更加精确和客观，有利于医患双方充分沟通，方便患者选择适当的术式，更好地配合手术和围手术期处理，也为减少术后纠纷打下良好的基础。 国内外已经开发了很多用于面部美容手术设计的商业软件，但以数字图片为素材、专门针对面部轮廓整形美容手术的测量与分析软件目前尚不多见。正是为了满足这样的临床需求，我们开发了这套“计算机辅助面部轮廓整形美容更多还原

【Abstract】 [Background]The facial contouring is a new branch of the craniomaxillofacial surgery, and aimed to the reconstruction of innate and acquired deformation, the aesthetic remodeling of normal facial contour with some flaws by the operative and nonoperative methods to rearrange and immobilize facial bone and soft tissue, according the basical principles established by Prof. Tessier, the French Plastic Surgeon, in 1960s.Thus, this subject have gotten a rapid progress since last century because it meet the strong desire of charming facial contour by the aesthetic remodeling which was used to reconstruct severe craniomaxillofacial deformation.It has become conceivable that measuring images of facial contouring patients with computer, as the result of the progress of computer technique, especially that of image processing and image measurement. Computer aided image measurement and analyzing should give Plastic Surgeons a relative precise preoperative diagnosis, digital operative design and standards which could bring about more accurate and objective aesthetic surgery of facial contouring. It could also promote the communication between surgeons and patients, help patients to understand and choose the most proper method of operation and to cooperate the operation and perioperative treatment correctly, and diminish the postoperative dispute.Several domestic and foreign softwares of facial aesthetic surgery have been developed in recent years, but hardly have there been any specific software for the更多还原