CAJ | 학술논문

目的探讨改良颞颊部隐蔽切口除皱术的临床效果.方法收集面部老化者共26例,采用设计改良折线手术切口,耳前切口向后下于耳轮上脚软骨前缘折向后至耳屏缘.采用改良的垂直向上方悬吊腮腺浅面的浅表肌腱膜,同时在耳屏缘前1～2 cm向外上悬吊浅表肌肉腱膜系统(SMAS)筋膜,使鼻唇沟变浅,同时上提下垂的颊部脂肪,改善下颌曲线.结果 26例受术者术后面部外观均较术前显著改善,满意率为100％.术后6个月时,无下睑外翻,睑球分离等并发症.结论改良颞颊部隐蔽切口除皱术切口瘢痕隐蔽,无明显脱发,避免了重要神经、血管的损伤.
목적 탐토개량섭협부은폐절구제추술적림상효과.방법 수집면부노화자공26례,채용설계개량절선수술절구,이전절구향후하우이륜상각연골전연절향후지이병연.채용개량적수직향상방현조시선천면적천표기건막,동시재이병연전1～2 cm향외상현조천표기육건막계통(SMAS)근막,사비진구변천,동시상제하수적협부지방,개선하합곡선.결과 26례수술자술후면부외관균교술전현저개선,만의솔위100％.술후6개월시,무하검외번,검구분리등병발증.결론 개량섭협부은폐절구제추술절구반흔은폐,무명현탈발,피면료중요신경、혈관적손상.
Objective To explore the clinical effect of the modified rhytidectomy technique with hidden temporal and buccal incision.Methods 26 cases of aging face were collected.The operation was performed with modified preauricular incision which was the leading edge of the cartilage of helix and hair line.Preauricular remporal fascia was modified as suspended vertically and SMAS superficial to parotic gland was suspended vertically to nasolabial sulcus.Results All the patients reported fine rejuvenescent effects,the satisfaction rate was 100％ without any severe complications,such as scar,hair loss on temperal incision.Conclusions This surgical technique may maintain natural configuration of preauricular area,result in invisable incision scar with no obvious baldness,and avoid important nerves or vessel injury.