内镜在额颞部除皱术及术后再次修复中的应用  

Endoscopic assistance in a variety of complicated facelift and postoperative repair in frontal and temporalnl＇eRS

作　　者：胡晓根[1] 马海欢[1] 齐慧颉[1] 薛志强[1] 

机构地区：[1]北京,中日友好医院整形外科,北京100029

出　　处：《中华医学美学美容杂志》2014年第1期1-4,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨内镜在额颞部除皱术及术后再次修复中的应用及临床效果。方法对67例受术者内镜下行额颞部除皱术，其中22例为额颢部除皱术后再次内镜下修复者。随访时间1个月至2年，受术者和医师对术后满意率作为评价标准，同时记录各种术后并发症。结果67例受术者术后完全康复，无严重并发症发生。受术者的满意率为85％（57／67），医师的满意率为89％（60／67）。80％左右受术者术后早期出现轻微并发症，如挂线处小坑、轻度不对称、过度矫正、短期皮肤麻木、术后肿胀、较明显瘢痕和脱发等。4例受术者术后在额部皮下出现皮下淤青和较小血肿，早期穿刺抽吸后加压包扎，后期经过局部热敷，术后2周左右血肿逐渐吸收，恢复正常。2例受术者术后3个月左右颞部切口出现反复红肿，头皮表皮出现破溃后自愈，半年后经原切口取出钛钉和周围悬挂缝线，切除切口边缘瘢痕组织后缝合，切VII期愈合。2例由于术中电凝误伤，出现额部小范围皮肤坏死，局部换药，愈合后出现小坑样凹陷性瘢痕，半年后逐渐变平，小坑不明显。所有上述并发症经过处理后均愈合良好。结论内镜在额颞部除皱及术后再次修复中很有价值，尤其对于50岁以内的受术者应用内镜额颞部除皱及术后再次修复效果良好。Objective To introduce the advantages of the endoscopic assistance in primary and secondary face-lift in the frontal and temporal areas. Methods 67 cases were involved in the study, 22 of them were secondary facelift cases . The follow-up period ranged from 1 month to 2 years. The pa tients and doctors satisfactory rate were recorded and the complications were also reported. Results All 67 cases had complete recovery without serious complications. The patient＇s satisfactory rate was 85% （57/67）, and the doctor＇s satisfactory rate was 89% （60/67）. Some early minor complications included dimpling at the suture site, asymmetry, overcorrection, transitory paralysis, late edema, scar and fall-off of hair among 80~ or so of patients. 4 cases experienced hematoma on the frontal areas. The hematoma disappeared after early aspiration and later fomentation. 2 cases had wound ulceration in the temporal 3 months after operation. The anchoring materials were removed and the ulceration tissues were excised 6 months after operation. The wound healed completely. 2 patients experienced skin necrosis and depression due to careless electric cauterization on the frontal area. The depression gradually became smooth and inconspicuous after 6 months. All these complications were resolved and became negligible about 6 months after operation. Conclusions Endoscopic assistance is valuable in primary and secondary face-lift in the frontal and temporal areas. It is reliable and worthwhile to intro duce the technique for patients aged less than 50-year-old.

关 键 词：除皱术 内镜 额部 颞部 修复外科手术 

分 类 号：R62[医药卫生—整形外科]