整块硅胶假体隆额颞术

En block frontal-temple silicone for humping the forhead and temple

目的观察应用整块硅胶假体置入额颞部隆额、隆颞的效果。方法用蜡片按额颞部凹陷的范围、欲隆起的部位及高度制成蜡模,根据蜡模的长、宽、高定作相应大小的硅胶块,将硅胶块雕刻成所需要的假体,局麻下通过额、颞部共三个切口,分别在帽状腱膜下及颞浅筋膜下分离适当大小的腔隙,经正中切口将假体植入。结果本组共18例,术后切口一级愈合,无感染。早期血性积液1例,经抽吸后治愈;后期无菌性渗出1例,经腔内注射泼尼松2次,治愈。随访12个月,外形满意,无棱角出现。结论整块硅胶假体植入隆额、颞部安全、疗效肯定。

Objective To explore the reliability of humping the forhead and temple by en block frontaltemporal silicone . Methods Make wax mold by pileing up wax slices layer by layer according to the rang of depressing of the forhead and temple , the section being humped and the hight need to be projected. Order the silicone block according to the dimention of the wax mold. Make the implant from the silicon block . Under local anaesthesia dissection under the superficial temporal fascia and galea through forehead and two temporal incisions. Implant the silicon through the midle ineison. Results Total 18 cases in this group were followed up for 3 - 12 months. Wound healed primarily without infection. 1 case with early blood effusion cured after aspiration. 1case with later clear effusion cured after aspiration and injection of prednisenein to the capsular. The frontal temporal contours were satisfactory . No outline of the implant was seen. Conclusion It is safety and satisfied to hump the forhead and temple by en block frontahemporal silicone.