CAJ | 학술논문

目的探讨面部除皱术中应用颞浅筋膜瓣转移覆盖眼轮匝肌治疗鱼尾纹的效果,并对手术操作经验进行总结.方法在面部除皱术中,颞部处理按常规操作,首先在皮下组织层分离至颞线、眶外缘,然后在帽状腱膜、颞浅筋膜下分离,向前达眶上缘、眶外缘,在帽状腱膜、颞浅筋膜交界处剪开形成颞浅筋膜瓣,将其反转后铺垫于眼外侧的眼轮匝肌表面,用6-0可吸收线适当固定.结果 2004年5月至2010年5月临床治疗18例,术后随访6～12个月,与单纯除皱者相比,本组患者术后鱼尾纹矫正较持久,面部年轻化效果更好,手术效果满意,无局部不平整畸形等并发症出现.结论除皱术中应用颞浅筋膜瓣转移覆盖眼轮匝肌来治疗鱼尾纹,效果较显著,疗效较传统除皱术更持久.
목적 탐토면부제추술중응용섭천근막판전이복개안륜잡기치료어미문적효과,병대수술조작경험진행총결.방법 재면부제추술중,섭부처리안상규조작,수선재피하조직층분리지섭선、광외연,연후재모상건막、섭천근막하분리,향전체광상연、광외연,재모상건막、섭천근막교계처전개형성섭천근막판,장기반전후포점우안외측적안륜잡기표면,용6-0가흡수선괄당고정.결과 2004년5월지2010년5월림상치료18례,술후수방6～12개월,여단순제추자상비,본조환자술후어미문교정교지구,면부년경화효과경호,수술효과만의,무국부불평정기형등병발증출현.결론 제추술중응용섭천근막판전이복개안륜잡기래치료어미문,효과교현저,료효교전통제추술경지구.
Objective To explore an ideal procedure with more lasting aesthetic results by covering the orbicularis oculi muscles with the superficial temporal fascia flap in rhytidectomy,which can help to correct the crow' s feet successfully. Methods During rhytidectomy,dissection was performed subcutaneously and also under pericranium and superficial temporal fascia at temporal area. Then the superficial temporal fascia flap was formed by cutting between pericranium and superficial temporal fascia.The fascia flap was reversed to cover the lateral orbicularis oculi muscle with fixation.Results From May 2004 to May 2010,18 cases were treated with a follow-up period of 6-12 months. The crow' s feet was corrected better with long lasting results, compared with conventional rhytidectomy. No complication happened.Conclusions The crow's feet can be corrected markedly with long lasting results by covering the orbicularis oculi muscles with the superficial temporal fascia flap in rhytidectomy.