内窥镜骨膜下额部除皱骨固定19例  

The endoscopically assisted forehead lift using skull cortical tunnel fixation-a report of 19 cases

作　　者：叶秀娣[1] 乐淑君[1] 虞渝生[1] 

机构地区：[1]浙江大学医学院附属第一医院整形外科,杭州310003

出　　处：《中华整形外科杂志》2005年第5期342-344,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨额部除皱术有效的固定方法及眉的彻底游离对内窥镜骨膜下额部除皱的影响。方法行骨膜下剥离,尤其是眶周和额颞移行区充分分离;上提眉周组织并无张力固位;头皮经颅骨外板隧道固定。结果本组19例均获得满意效果。其中1例曾并发右面神经额支麻痹,3个月后完全恢复。结论经颅骨外板隧道的切口固定使术后眉位置保持良好,且除皱效果持久。Objective To study the effect of the fixation on skull and thorough mobilization of the brow area on the results of the endoscopically assisted subperiosteal forehead lift. Methods The operation procedure included adequate subperiosteal dissection, especially at the frontotemporal transition area; complete mobilization of the brow area and fixation of the incised scalp to the skull through a cortical tunnel without tension. 19 patients received the operation. Results Long-term follow-up showed that all the 19 patients were satisfied with the surgical resnhs. A transient frontal branch paresis happened in one case, which resolved in 3 months spontaneously without sequelae. Conclusions Cortical tunnel fixation well keeps the brows at a lifted position and achieves persistent rejunvenation of the forehead.

关 键 词：骨膜下 内窥镜 固定 除皱术 额部除皱术 骨膜下剥离 内窥镜 骨固定 颅骨外板 面神经额支 固定方法 移行区 无张力 

分 类 号：R622[医药卫生—整形外科]