颈阔肌肌瓣在面颈部除皱术中的应用  

Application of platysma flap in face lifting

作　　者：王春梅[1] 聂晶莹[2] 盛虹明[3] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院烧伤整形治疗中心,北京100041 [2]吉林市第二中心医院整形外科 [3]上海市浦东新区浦南医院整形外科

出　　处：《中华整形外科杂志》2006年第4期292-294,共3页Chinese Journal of Plastic Surgery

摘　　要：目的为解决颏颈部老化提供一种新的更有效的方法。方法采用多层次除皱法,耳前分离一舌形SMAS筋膜瓣转移至耳后,缝合固定于乳突区筋膜表面,颈阔肌采用T形瓣法,将两瓣向后上方悬吊固定于乳突区,修剪多余的皮肤。结果临床应用12例,随访6个月至1年,术后效果均满意,无一例出现面神经损伤及术后并发症。结论在面颈部除皱术中,采用改良的SMAS筋膜瓣法加强下颌缘上提作用的同时结合颈阔肌肌瓣悬吊法,使颈部除皱效果大大改善,亦增强了面部除皱术的效果。Objective To introduce a safe and simple method to improve the effect of face lifting. Methods During face lifting three anatomic dissection was applied. All the cases were performed with transferring the SMAS flap from the anterior ear to the posterior and fixing platysma flap with deep fascia of mastoid region, then removed fixed and sutured skin flap. Results 12 cases with satisfying effect were followed up for 6 - 12 months. No complications were found such as facial nerve injuring. Conclusion The application of pedicle SMAS flap and platysma flap in face lifting is simple and safe.

关 键 词：SMAS筋膜瓣 颈阔肌肌瓣 面部除皱术 

分 类 号：R622[医药卫生—整形外科]