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腮腺筋膜-SMAS-颈阔肌瓣在颊颈部除皱术中的应用
引用本文:王晓军,刘志飞,朱琳,张海林,崔雅宁,乔群. 腮腺筋膜-SMAS-颈阔肌瓣在颊颈部除皱术中的应用[J]. 中华整形外科杂志, 2001, 25(1): 245-247. DOI: 10.3760/cma.j.issn.1009-4598.2009.04.003
作者姓名:王晓军  刘志飞  朱琳  张海林  崔雅宁  乔群
作者单位:北京协和医学院北京协和医院整形外科,北京,100032;
摘    要:目的 探讨腮腺筋膜-SMAS-颈阔肌瓣在颊颈部除皱术中的应用策略与技巧.方法 在改良传统的SMAS-颈阔肌瓣基础上,设计腮腺筋膜-SMAS-颈阔肌瓣,通过折叠、渐进式提升及悬吊,以弥补SMAS瓣自身张力不足的缺点,分散提升颊颈部软组织.结果 2004年10月至2008年10月,为78例患者行颊颈部除皱术,其中男性2例,女性76例,年龄40~65岁.术后随访6个月~4年,效果满意.结论 应用腮腺筋膜-SMAS-颈阔肌瓣,进行折叠、渐进式提升及悬吊术,是矫正颊颈部软组织松垂的有效手段.

关 键 词:面颈除皱术   肌一筋膜瓣   

The clinical application of parotid fascia-SMAS-platysma flap in the lifting of lower face and neck
Abstract:Objective To investigate the technique of lower face and neck lifting with parotid fascia-SMAS-platysma flap. Methods To improve the lifting strength of SMAS and the cosmetic result, the traditional SMAS-platysma flap was modified as parotid fascia-SMAS-platysma flap. The modified flap was folded and suspended step by step to lift the lower face and neck. Results From Oct. 2004 to Oct. 2008, 78 patients were treated with this method. The patients' age ranged from 40 to 65 years old. There were 2 eases of male and 76 cases of female. All the patients were followed up for 6 months to 4 year with satisfactory results. Conclusions Folding and suspension of the parotid fascia-SMAS-platysma flap step by step can effectively lift the saggy tissue of lower face and neck.
Keywords:Faciocertical rhytidectomyMyo-fascial flap
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