CAJ | 학술논문

目的探讨眼轮匝肌的多点缝扎固定联合颞肌筋膜移植隔离减轻或消除鱼尾纹的效果.方法自2005～2009年,86例美容就医者接受了消除鱼尾纹的手术治疗,均为女性,平均年龄42岁.对外眦角部位的眼轮匝肌进行精细分离,露出完整和层次清晰的肌肉组织,通过对外缘眼轮匝肌向外上方的适度缝合悬吊,提升眼轮匝肌在上、下睑部以及外侧部的肌肉张力,也在一定程度上削弱了眼轮匝肌的收缩力度.对眼轮匝肌和深部组织多点缝扎固定,将眼轮匝肌的收缩力进行分解和中断,使其肌力不足以整体带动肌肉的长弧度的运动收缩.在手术涉及的组织完全愈合后,其肌力不足以牵动表面的皮肤产生皱褶和皱纹,鱼尾纹消失.结果 86例中获随访50例,随访3～28个月,效果明显持久,无血肿或神经损伤等严重并发症发生,受术者满意.2例出现1侧眉毛暂时性运动丧失,3个月后均自然恢复,1例出现真皮缝合后的皮下结节炎症,经过取出缝线后治愈.结论采用眼轮匝肌多点缝扎固定和颞肌筋膜眼轮匝肌表面填充隔离,消除或减轻了鱼尾纹,手术简单可靠,组织创伤轻,恢复快,并发症少,受术者易接受,是一种值得推广的鱼尾纹除皱方法.
목적 탐토안륜잡기적다점봉찰고정연합섭기근막이식격리감경혹소제어미문적효과.방법 자2005～2009년,86례미용취의자접수료소제어미문적수술치료,균위녀성,평균년령42세.대외자각부위적안륜잡기진행정세분리,로출완정화층차청석적기육조직,통과대외연안륜잡기향외상방적괄도봉합현조,제승안륜잡기재상、하검부이급외측부적기육장력,야재일정정도상삭약료안륜잡기적수축력도.대안륜잡기화심부조직다점봉찰고정,장안륜잡기적수축력진행분해화중단,사기기력불족이정체대동기육적장호도적운동수축.재수술섭급적조직완전유합후,기기력불족이견동표면적피부산생추습화추문,어미문소실.결과 86례중획수방50례,수방3～28개월,효과명현지구,무혈종혹신경손상등엄중병발증발생,수술자만의.2례출현1측미모잠시성운동상실,3개월후균자연회복,1례출현진피봉합후적피하결절염증,경과취출봉선후치유.결론 채용안륜잡기다점봉찰고정화섭기근막안륜잡기표면전충격리,소제혹감경료어미문,수술간단가고,조직창상경,회복쾌,병발증소,수술자역접수,시일충치득추엄적어미문제추방법.
Objective The purpose of this study was to evaluate the efficacy of multipoint transfixion combined with filling of temporal fascia and the lateral orbicularis oculi muscle as an alternative rejuvenation technique on crow's feet wrinkles during face lift.Methods A retrospective review was conducted in 86 patients who underwent crow's feet wrinkles treatment during 2005 and 2009.During operation orbicularis' strength was broken down and blocked when we multi-pointly sutured and fixed the orbicularis oculi and deep tissue,temproal musculofascia was filled on the surface of multi-pointly sutured orbicularis oculi.By postoperative follow-up,complications,aesthetic outcome,and patient's satisfaction were recorded.Results In the group of 86 cases,50 cases were followed up from 3 to 28 months.The effect was lasting obviously and there was no any severe complications,such as hematoma or nerve injury.Patients were satisfied with their results.Among the total,2 patients appeared the temporary movement loss of the eyebrows in one side,but both recovered 3 months later.And 1 case appeared subcutaneous nodular inflammation and recovered after pulling out the suture.Conclusions The authors demonstrate that combination of filling with temporal fascia and the multipoint transfixion of lateral orbicularis oculi muscle is a safe technique,which may be a good alternative for periorbital rejuvenation and help in avoiding lower lid incisions or extensive dissections during face lifting in some cases.