额颞部除皱的同时行额肌帽状腱膜瓣折叠隆额术

目的：探讨额颞部除皱的同时行额肌帽状腱膜瓣折叠隆额术的新方法，评价其优缺点。方法：选额颞部皮肤老化、皱纹增多、伴有额头较扁平、要求同时行除皱及隆额的患者8例，采用冠状切口，在帽状腱膜下间隙剥离达眶上缘，在双侧额结节水平以上部位的头皮瓣下分离出额肌帽状腱膜瓣，将之折叠并垫于额结节水平以下部分，增加额部的高度；再将额颞部皮肤提紧，去除多余皮肤后缝合。结果：所有患者均随访6个月，术后效果均满意，未出现神经及毛囊损伤等并发症。结论：额颞部除皱的同时行额肌帽状腱膜瓣隆额术，不仅可以增强额颞部除皱的效果，还可有效地利用额部多余的自体额肌腱膜组织，无排异反应的发生，手术可以一次完成，效果满意。

Projecting forehead with frontalis and epicranial aponeurosis flaps fold while forehead and temporal rhytidectomy

Objective To investigate a new projecting forehead while forehead and temporal rhytidectomy, in order to assess the value of it. Methods Eight patients who suffered from forehead and temporal aging skin and forehead flat were selected to use this new method. The scalps were lift under epicranial aponeurosis through coronal incision. And then the frontalis and epicranial aponeurosis flaps were fold and cushioned in the forehead after they were separated from the scalps. The forehead skin was lifted and sutured at last. Results The effect of all patients was pleasing after six months follow-up. There were no nerve and hair damaged, in these operations. Conclusion The effect of projecting forehead were improved and the redundant tissue could be used sufficiently. The effect of these two operations was pleasing and they could be made simultaneously.