中面部脂肪室研究进展及相关临床应用  

Progress of midfacial fat compartments and related clinical applications

作　　者：文丽红[1] 王晋煌[1] 李阳[1] 柳大烈[1] 

机构地区：[1]南方医科大学珠江医院整形外科,广州510282

出　　处：《中国修复重建外科杂志》2018年第2期248-251,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的综述中面部脂肪室相关研究进展,全面了解中面部脂肪室解剖及其老化的形态表现、相关临床应用现状。方法广泛查阅近年来中面部脂肪室研究及临床应用的相关文献,并进行综合分析。结果中面部脂肪层曾被认为是融合而连续的层次,在老化的过程中表现为脂肪整体萎缩。随着解剖研究的深入,新近研究表明中面部脂肪层被筋膜、韧带或肌肉分隔为多个脂肪室,并分成深、浅两层,在老化过程中表现为浅层肥大而深层萎缩。临床应用表明,对深内侧面颊脂肪室及Ristow’s space进行脂肪容量填充,可有效恢复中面部年轻化外观。结论中面部脂肪室的研究取得了显著进展,为脂肪容量填充的临床应用提供了新的理论依据。根据不同部位、不同层面的脂肪室发生的不同老化改变进行相应处理,可实现中面部年轻化。Objective To review the research progress of midfacial fat compartments, and to thoroughly understand its current state of the anatomy and the aging morphologic characters of midfacial fat compartments, as well as the current status of clinical applications. Methods The recent literature concerning the midfacial fat compartments and related clinical applications were extensively reviewed and analyzed. Results Midfacial fat layer has been considered as a fusion and a continuous layer, experiencing a global atrophy when aging. As more anatomical researches have done, recent studies have shown that midfacial fat layer is broadly divided into superficial and deep layers, which are both divided into different fat compartments by fascia, ligaments, or muscles. Midfacial fat compartments tend to atrophy with age, specifically in the deep fat compartments while hypertrophy in the superficial fat compartments. Clinical applications show that fat volumetric restoration with deep medial cheek fat and Ristow＇s space can restore the appearance of midface effectively. Conclusion In recent years, the researches of midfacial fat compartments have achieved obvious progress, which will provide new ideas and basis for fat volumetric restoration. Corresponding treatments are selected based on different sites and different layers with different aging changes, reshaping a more youthful midface.

关 键 词：中面部 脂肪室 老化 深内侧面颊脂肪室 Ristow’s SPACE 

分 类 号：R622[医药卫生—整形外科]