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颞部三点减张悬吊法在面部除皱术中的应用及其临床意义
引用本文:张志宏,齐杰,王佳琦,王黔,梁伟中,杨宇,薛志强,郑行跃,归来.颞部三点减张悬吊法在面部除皱术中的应用及其临床意义[J].中华整形外科杂志,2006,22(2):136-138.
作者姓名:张志宏  齐杰  王佳琦  王黔  梁伟中  杨宇  薛志强  郑行跃  归来
作者单位:1. 100041,北京,中国医学科学院整形外科医院面颈部整形美容中心
2. 中国石油天燃气集团公司中心医院整形手外科
摘    要:目的 探讨一种减轻术后颞部秃发、切口瘢痕增生的面部除皱方法。方法 在进行面部除皱术时,将病例随机分为两组,A组46例采用颞部三点减张悬吊法,即:减张悬吊的每针的两点分别位于颞部发际线皮下层和切口下筋膜层,三针形成一个力学平面,使减张悬吊牢固持久。B组36例,颞部不行三点减张悬吊。术后观察颞部秃发、切口瘢痕情况。结果 行面部除皱术82例,A组病例秃发及切口瘢痕均较B组减轻,两组间比较差异有统计学意义(P〈0.05)。结论 颞部三点减张悬吊法能减轻除皱术后秃发及切口瘢痕增生,同时增强眉、眼,外眦等部位的提拉效果。

关 键 词:面部除皱术  颞部  减张
收稿时间:2005-09-09
修稿时间:2005年9月9日

Temporal three-point relief-tension suspension technique for facial rhytidectomy
ZHANG Zhi-hong,QI Jie,WANG Jia-qi,WANG Qian,LIANG Wei-zhong,YANG Yu,XUE Zhi-qiang,ZHENG Xing-yue,GUI Lai.Temporal three-point relief-tension suspension technique for facial rhytidectomy[J].Chinese Journal of Plastic Surgery,2006,22(2):136-138.
Authors:ZHANG Zhi-hong  QI Jie  WANG Jia-qi  WANG Qian  LIANG Wei-zhong  YANG Yu  XUE Zhi-qiang  ZHENG Xing-yue  GUI Lai
Institution:Department of Face and Neck Plastic and Aesthetic Surgery, Plastic Surgery Hospital, the Chinese Academy of Medical Sciences, Beijing 100041 ,China
Abstract:Objective To evaluate a facial rhytidectomy technique to reduce the complications of temporal alopecia and incisional scar hyperplasia. Methods The 82 aged patients were divided into 2 groups in random way: group A in 46 with the use of the three-point relief-tension suspension technique and group B in 36 as control. In group A, the two point of every relief-tension suture was located respectively in the subcutis of the hairline and fascia under the incision. The parallel three sutures formed a mechanical plane to make the relief suture more strong and permanent. The temporal alopecia and incisional scar was observed with the follow-ups after the operation. Results With the 82 cases of facial rhytidoplasty, the complications of the temporal alopecia and incisional scars in group A were much less than in group B. Conclusions This technique could decrease the complications such as temporal alopecia and incisional scars, and get a good and long term effect of temporal lifting simultaneously.
Keywords:Facial rhytidoplasty  Temple  Relief tension
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