平行切断法处理额肌的内镜额部除皱术  

Endoscopic forehead lift with frontalis muscle resection by parallel incision

作　　者：谢宏彬[1] 王关卉儿 谢祥[1] 潘柏林[1] Xie Hongbin;Wang Guanhuier;Xie Xiang;Pan Bolin(Department of Plastic and Reconstructive Surgery,Peking University Third Hospital,Beijing,Beijing 100191,China)

机构地区：[1]北京大学第三医院成形外科,北京100191

出　　处：《中华医学美学美容杂志》2021年第1期20-23,I0001,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨一种新的内镜额部除皱方法并总结其临床效果。方法2010年1月至2017年1月,北京大学第三医院成形外科119例患者行内镜额部除皱术。该术式在额肌上做平行切断以改善额部皱纹。部分降眉肌、皱眉肌用微创钳钝性咬除。术中不使用固定装置,也不行缝扎固定。术后对患者发放相关FACE-Q量表评估满意度,并测量手术前后眉部位置。结果术后1周,119例患者肿胀基本消除,眉间纹、额横纹明显减轻或消失。眉部测量显示,患者眉毛有明显抬高。FACE-Q量表结果显示,患者对术后额部皱纹、眉间皱纹改善满意度高,对手术结果满意度高;患者自觉年轻7岁。该术式常见的早期并发症是额部暂时性皮肤麻木,其次是发际线后退。结论内镜额部除皱术式可有效改善额部、眉间皱纹,满足患者需求。Objective To introduce a novel method of endoscopic forehead lift and its follow-up results.Methods In the past 7 years,119 patients underwent endoscopic forehead lift.The parallel incisions were made on the frontalis muscle to relieve the wrinkles of the forehead.Glabella muscles were partially bluntly bitten by minimally invasive forceps.No fixator or suture was applied during the operation.Postoperative FACE-Q scales were issued to patients,and the changes of eyebrow position before and after operation were measured.Results One week postoperatively,glabella frown and forehead wrinkles were relieved or eliminated as the swell gone.The eyebrow measurement outcome showed that the eyebrows of the patients were definitely raised after the operation.The results of FACE-Q scales showed that patients were highly satisfied with the improvement of frontal wrinkles and glabella frown wrinkles,and with the surgical outcomes and decisions.The patients thought they were averagely 7 years younger after operation.The most common complication was temporary frontal skin numbness,followed by hairline regression.Conclusions The endoscopic forehead lift can effectively improve the forehead wrinkles and the glabella frown wrinkles which meets the demands of Chinese patients.

关 键 词：内镜 美容技术 额部除皱 FACE-Q量表 患者汇报结局 

分 类 号：R62[医药卫生—整形外科]