内镜在整形外科的应用现状和进展

The Current Status and Advances of Endoscopy in Plastic Surgery

自从90年代初内镜被介绍到整形外科以来,在整形外科的应用发展迅速。尽管内镜的基本原理和基本技术并未发生显著变化,但是仪器、手术器械和手术技巧均发生了显著的变化,从而使内镜在整形外科的应用范围显著拓宽。本文对内镜在整形外科应用的大量文献进行了复习和回顾。尽管内镜额部除皱和经腋窝入路内镜下隆乳术已经被广大整形外科医师所接受并得到了广泛的应用,但是,内镜下肌瓣的切取等技术并未被广泛的接受。内镜显微外科技术有待在仪器和技术两个方面进一步改进。

To introduce to the field of plastic surgery in the early 1990s, surgical en-doscopy has expanded rapidly with application across the broad range of plastic surgery. Although basic principles and concepts have remained the same, there have been advances in both instrumentation and surgical ingenuity, allowing them broader application. The numerous application of the endoscope was reviewed and evaluated. Although some applications such as the endoscopic forehead lift and transaxillary endoscopic augmentation seem to have received general acceptance and are used across a broad spectrum of plastic surgery practices, others such as endoscopic muscle harvest etc have not gained such widespread acceptance. Also, there are areas such as endoscopic microvascular surgery that await advances in technology and instrumentation.