面部除皱术中颞浅筋膜瓣转移覆盖眼轮匝肌治疗鱼尾纹

A new procedure to correct the crow＇s feet by covering the orbicularis oculi muscles with the superficial temporal fascia flap in rhytidectomy

目的探讨面部除皱术中应用颢浅筋膜瓣转移覆盖眼轮匝肌治疗鱼尾纹的效果，并对手术操作经验进行总结。方法在面部除皱术中，颞部处理按常规操作，首先在皮下组织层分离至颞线、眶外缘，然后在帽状腱膜、颞浅筋膜下分离，向前达眶上缘、眶外缘，在帽状腱膜、颞浅筋膜交界处剪开形成颞浅筋膜瓣，将其反转后铺垫于眼外侧的眼轮匝肌表面，用6-0可吸收线适当固定。结果2004年5月至2010年5月临床治疗18例，术后随访6～12个月，与单纯除皱者相比，本组患者术后鱼尾纹矫正较持久，面部年轻化效果更好，手术效果满意，无局部不平整畸形等并发症出现。结论除皱术中应用颞浅筋膜瓣转移覆盖眼轮匝肌来治疗鱼尾纹，效果较显著，疗效较传统除皱术更持久。

Objective To explore an ideal procedure with more lasting aesthetic results by covering the orbicularis oculi muscles with the superficial temporal fascia flap in rhytidectomy, which can help to correct the crow＇ s feet successfully. Methods During rhytideetomy, dissection was performed subcutaneously and also under pericranium and superficial temporal fascia at temporal area. Then the superficial temporal fascia flap was formed by cutting between pericranium and superficial temporal fascia. The fascia flap was reversed to cover the lateral orbieularis oeuli muscle with fixation. Results From May 2004 to May 2010, 18 cases were treated with a follow-up period of 6-12 months. The crow＇s feet was corrected better with long lasting results, compared with conventional rhytideetomy. No complication happened. Conclusions The erow＇s feet ean be e, orrected markedly with long lasting results by covering the orbieularis oeuli muscles with the superficial temporal fascia flap in rhytideetomy.