CAJ | 학술논문

目的探索一种操作简单、安全、有效的眶周除皱术式.方法在肿胀麻醉下,通过眉区切口入路,在眼轮匝肌眶部外侧深面向下剥离1 cm,将眼轮匝肌上提固定于颞深筋膜或额骨骨膜上;于内侧显露降眉肌和皱眉肌并离断之.然后,通过皮肤入路睑袋成形术切口,在行睑袋成形术的同时,在眼轮匝肌与其下脂肪组织间分离眼轮匝肌眶部外侧,形成眼轮匝肌肌皮瓣,向外上方提紧,固定于眶骨骨膜上.对于颧颊部丰满、鼻唇沟明显者,可同时悬吊固定颧脂肪垫.结果 65例中年女性,术后随访3～16个月,切口瘢痕不明显,静态时鱼尾纹、眉间纹消失,上睑松弛及眉下垂完全矫正,鼻唇沟纹明显减轻,95 %的受术者对手术效果满意.并发球结膜水肿者4例,经热敷治疗,1个月内均消退,无面神经损伤及其他并发症发生.结论眼轮匝肌悬吊法采用新的切口入路,完全避开面神经,手术操作简单,安全,切口隐蔽,疗效可靠持久,创伤小,恢复迅速,是一种较好的眶周除皱手术方法.
목적 탐색일충조작간단、안전、유효적광주제추술식.방법 재종창마취하,통과미구절구입로,재안륜잡기광부외측심면향하박리1 cm,장안륜잡기상제고정우섭심근막혹액골골막상;우내측현로강미기화추미기병리단지.연후,통과피부입로검대성형술절구,재행검대성형술적동시,재안륜잡기여기하지방조직간분리안륜잡기광부외측,형성안륜잡기기피판,향외상방제긴,고정우광골골막상.대우권협부봉만、비진구명현자,가동시현조고정권지방점.결과 65례중년녀성,술후수방3～16개월,절구반흔불명현,정태시어미문、미간문소실,상검송이급미하수완전교정,비진구문명현감경,95 %적수술자대수술효과만의.병발구결막수종자4례,경열부치료,1개월내균소퇴,무면신경손상급기타병발증발생.결론 안륜잡기현조법채용신적절구입로,완전피개면신경,수술조작간단,안전,절구은폐,료효가고지구,창상소,회복신속,시일충교호적광주제추수술방법.
Objective To study one simple, safe and effective method of periorbital rhytidectomy. Methods With turgescent anesthesia, 1 cm -extent was dissected laterally deep under musculus orbicularis oculi at the approach of eyebrow area. The musculus orbicularis oculi was fixed to the deep temporal fascia and frontal periosteum. The superciliary corrugator muscle and depressor muscle were exposured and cut. Then the eyelid blepharoalasty was performed through the skin incision, meanwhile the lateral pars orbitalis muscle was liberated to form an orbitalis muscle flap under the orbitalis muscle and the fat pad, which was fixed to the os orbitale periost by lifting tight to lateral and upper side. For patients with generous pars buccalis and obvious nose lip ditch, the cheekbone fat cushion was also hanged and fixed. Results 65 middle age female patients were followed up for 3～16 months. The scar was no obvious, glabellar wrinkle and canthal wrinkle disappeared at static state, relaxed upper eyelid and eyebrow prolapse reached to complete correct, nasolabial groove wrinkle obvious lessened. 95 % patients were satisfacted with the appearance. Conjunctival edema was found in 4 cases, and disappeared within 1 months. There were no facial nerve injury and other complications. Conclusions It is a new incisional approach that avoids the facial nerves and lessens fossa orbitalis retrogradation. The operative procedure is simple and safe, and its incision is occult. The wound is small and restores rapidly, but the effect is reliable and lasting. It proves to be an ideal approach for face rejuvenation.