Bitner John B, Friedman Oren, Farrior Richard T, Cook Ted A
Division of Facial Plastic and Reconstructive Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
Arch Facial Plast Surg. 2007 May-Jun;9(3):194-200. doi: 10.1001/archfaci.9.3.194.
Facial plastic surgeons commonly see patients with submental laxity and an excess of skin and fat in the upper neck. This has colloquially been called the "turkey gobbler" deformity. In some cases, this deformity is the patient's only aesthetic concern, and full face-lift surgery is not desired. In this study, we reviewed the English-language peer-reviewed literature for descriptions of direct excisional submentoplasty techniques. Various designs for skin excision and wound closure have been used by surgeons over the past several decades. This article summarizes the surgical technique as well as the advantages and disadvantages of each method. Furthermore, we propose an approach that incorporates many of the other designs but to our knowledge has not been described previously in the peer-reviewed literature. An understanding of these numerous approaches will better enable facial plastic surgeons to appropriately address and correct patient aesthetic concerns.
面部整形外科医生经常会接待一些颏下松弛且上颈部皮肤和脂肪过多的患者。这在通俗说法中被称为“火鸡颈”畸形。在某些情况下，这种畸形是患者唯一的美学问题，患者并不希望进行全面部提升手术。在本研究中，我们查阅了英文同行评审文献，以了解直接切除性颏下成形术技术的描述。在过去几十年里，外科医生使用了各种皮肤切除和伤口闭合的设计。本文总结了手术技术以及每种方法的优缺点。此外，我们提出了一种方法，该方法融合了许多其他设计，但据我们所知，此前在同行评审文献中尚未有过描述。了解这些众多的方法将更好地使面部整形外科医生能够恰当地处理和纠正患者的美学问题。
