额颞部小切口埋线悬吊固定除皱术

Frontotemporal rhytidectomy with small incisions of suspension and fixation by embedding with the threads

目的 总结额颞部小切口除皱的临床效果 ,选择术后有效的固定方法。方法 采用专用器械经小切口分别在额顶部帽状腱膜下颞部浅筋膜层分离 ,并切断部分额肌、皱眉肌、降眉肌 ,用埋线法拉紧头皮 ,悬吊固定并加压包扎。结果 本组 5 2例 ,其中 48例效果满意 ,4例基本满意 ,本组并发头皮血肿 2例 ,头皮点状脱发 3例。结论 额颞部小切口除皱疗效肯定 ,采用了埋线悬吊固定 ,可保证及巩固术后效果 ,因操作简便、手术时间短、出血少、恢复快 。

Objective To report the frontotemporal rhytidectomy with small incision and the improvement of fixation. Methods Based on a great deal of rhytidectomy with conventional method, and had considering some principles and methods in rhytidectomy, we carried out the new operation with the experience of endoscopy in 1994, in which special threads, separator and dentoid cutting knife were used. Results Fifty two patients with wrinkles accepted the operation in our ward since 1996, and 48 cases obtained satisfactory clinical results. Conclusion The frontotemporal rhytidectomy with small incision is a simple and reliable wrinkle smooth operation with less bleeding and little damage as compared to traditional rhytidectomy.