CAJ | 학술논문

目的：探讨颞部除皱的改良方法。方法通过上、中、下三个方向的直接向后将其提紧，折叠眼轮匝肌，而非分离、外展眼轮匝肌。结果这种颞部除皱的改良方法不仅可以便捷地将颞部的鱼尾纹消除掉，而且带来比较小的手术创伤，不会对神经造成损伤。结论在颞部除皱术中，不将眼轮匝肌拉紧，单纯切除颞部松弛的皮肤，往往不会产生比较持久的手术效果；而将眼轮匝肌外侧缘分离出来，作肌瓣缝合于一个平展的位置，疗效虽然满意，但容易对面神经颞支的眼轮匝肌支造成损伤，手术风险比较大；不用分离眼轮匝肌外侧缘，而直接折叠缝合于颞筋膜上，同样能达到平展眼轮匝肌的目的，且可以取得比较明显的手术效果，不会对神经造成损伤。
목적：탐토섭부제추적개량방법。방법통과상、중、하삼개방향적직접향후장기제긴，절첩안륜잡기，이비분리、외전안륜잡기。결과저충섭부제추적개량방법불부가이편첩지장섭부적어미문소제도，이차대래비교소적수술창상，불회대신경조성손상。결론재섭부제추술중，불장안륜잡기랍긴，단순절제섭부송이적피부，왕왕불회산생비교지구적수술효과；이장안륜잡기외측연분리출래，작기판봉합우일개평전적위치，료효수연만의，단용역대면신경섭지적안륜잡기지조성손상，수술풍험비교대；불용분리안륜잡기외측연，이직접절첩봉합우섭근막상，동양능체도평전안륜잡기적목적，차가이취득비교명현적수술효과，불회대신경조성손상。
Objective to investigate the method of improved temporal bones of the aging. Methods through the upper, middle and under the direction of three direct mention tight,fold eyes round go round head,round eyes and separation of outreaching go round head. Results the methods easily eliminated temporal bones of the feet,and small surgical trauma,avoid nerve damage.Conclusion Temporal bones of aging technique,without mentioning tight eyes round go round head,simple removal of the temporal bones of lax skin,she is often not a lasting effect.Will go round and round on the outer side fate separated muscle for muscle petal suture position in a flat and smooth,although the effcacy of satisfaction,but to face nerve damage to the temporal bones from eye round go round head sticks,surgical risks;needless separation eyes round go round fabric outer side fate,and direct wimple suture in temporal bones fascia,also achieved eye round go round flat and smooth muscle purpose surgical results clearly,and avoid nerve damage.