Rouveroux C, Binder J P, Revol M, Servant J M
Service de chirurgie plastique, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
Ann Chir Plast Esthet. 2006 Jun;51(3):211-6. doi: 10.1016/j.anplas.2005.07.017. Epub 2005 Oct 20.
Surgical management of the deep nasolabial fold, due to age, genetic diseases or facial lipoatrophy, is difficult and often short-lived. Direct excision seems to improve the long-term results. Clinical illustration and review of literature about the anatomy and physiology of the nasolabial fold are proposed to explain this fact.
Direct excision of the nasolabial fold has been performed on nine patients, three females and six males. The problem was aging midface in two cases, facial lipoatrophy in five cases, cutis laxa in one case and pachydermoperiostosis in one case. The excision was sitting astride the nasolabial fold and the suture preserved a dog-ear at the upper extremity to restore the projection of the cheek. Evaluation items were quality of the scar, durability of the result and personal improvement.
Scars were always unnoticeable within six months, projection of the cheek was restored, and results were durable with an average follow-up of eighteen months. All patients were satisfied with the aesthetic or social improvement.
Direct excision of the nasolabial fold is a simple, reliable and durable method, respecting the physiology of this area of the face. Then, it should be indicated in deepened nasolabial fold, whatever the etiology.
由于年龄、遗传疾病或面部脂肪萎缩导致的鼻唇沟过深，手术治疗困难且效果往往难以持久。直接切除似乎能改善长期效果。本文通过临床病例展示及对鼻唇沟解剖学和生理学相关文献的回顾来解释这一现象。
对9例患者实施了鼻唇沟直接切除术，其中女性3例，男性6例。病因包括2例面部老化、5例面部脂肪萎缩、1例皮肤松弛症和1例厚皮性骨膜病。手术切口横跨鼻唇沟，缝合时在切口上端保留一个“狗耳”以恢复脸颊的突出度。评估指标包括瘢痕质量、效果持久性和个人改善情况。
6个月内瘢痕均不明显，脸颊突出度得以恢复，平均随访18个月，效果持久。所有患者对美观或社交方面的改善均感满意。
鼻唇沟直接切除术是一种简单、可靠且持久的方法，符合面部该区域的生理特点。因此，无论病因如何，对于鼻唇沟加深均应考虑采用该方法。
