颞部发际缘锯齿切口多部位递进式悬吊除皱术

目的 探讨颞部发际缘锯齿形切口多部位递进式悬吊除皱术与传统切口的除皱术在对中下面部提升及术后切口愈合和瘢痕隐蔽方面的优越性.方法 将40例患者分为A、B两组,A组16例采用发际缘锯齿形切口多部化递进式悬吊除皱术,并对眼轮匝肌、颧部、耳前行多部位递进式悬吊折叠缝合固定,切口方向为向前向内为40～45°;B组24例采用传统切口的除皱术.结果 A组患者切口愈合佳,且发际缘有毛发生长,瘢痕隐蔽性好,鱼尾纹明显减轻,下垂的外眦角、颧部、下颊部和腮腺咬肌区皮肤有较明显的提升,与B组相比较,差异有统计学意义(P<0.05).结论 颞部发际缘锯齿形切口多部位递进式悬吊除皱术是一种简便、安全有效且切口隐蔽的除皱方法,值得在临床上推广应用.

Rhytidectomy of W-shaped incisions combined with multiple suspension in temporal hair line

Objective To study the advantages of rhytidectomy of W-shaped incisions combined with multiple suspension in temporal hair line. Methods 40 patients were divided into two groups: 16 cases in group A were treated by rhytidectomy of W-shaped incisions combined with multiple suspcnsion in temporal hair line;24 cases in group B were treatcd by traditional rhytidectomy. Results The inci-sions in group A, with an excellent repair under scar formation, healed well and some hairs on the timpo-ral hair line grew. Fishtail lines were obviously reduced, with nasolabial fold lifting the masseter area skin on parotid. Compared with group B, the difference was statistically significant (P<0.05). Conclusions This approach is simple but convenient, safe and efficient. Therefore, it is valuable and applicable clinical-ly.