头皮分层切开和帽状腱膜覆盖减张缝合法预防额颞部除皱术后脱发

Layered scalp incision and overlapping apponeurosis suturing to prevent local alopecia after rhytidectomy

目的:探讨额颞部除皱术治疗额颞部皮肤老化的缝合方法及临床效果。方法:设计头皮分层切开和帽状腱膜覆盖减张缝合法,头皮的皮肤和皮下组织与帽状腱膜的切开不在同一水平,将形成的后叶帽状腱膜瓣和前叶帽状腱膜深面减张缝合。结果:在过去的5年中,此缝合方法应用于56例额颞部或全颜面除皱术。术后随访证实此缝合方法能长时间地去除额纹,上提眉毛,并可预防术后出现永久性脱发和凹陷性瘢痕。结论:头皮分层切开和帽状腱膜覆盖减张缝合法能有效地维持手术效果,并预防术后出现脱发和凹陷性瘢痕。

Objective To study a new method of incision closure in forehead and temporal rhytidectomy. Methods We have developed the methods of layered scalp incision and overlapping sutures of the galea. Results During the past 5 years, this method have been applied in 56 patients who underwent forehead and temporal or whole face rhytidectomy. Follow-up result shows that this method can effectively prevent persistent hair loss and depression scar formation. Conclusion Layered scalp incision and overlapping sutures of the galea aponeurosis are effective methods in frontal-temporal rhytidectomy, which can help maintaining rejuvenated state and preventing localized alopecia and depression of the scar.