颈部除皱术
Neck lift.
作者信息
de Castro Claudio Cardoso
机构信息
Service of Plastic Surgery, University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Aesthet Surg J. 2003 May;23(3):165-9. doi: 10.1067/maj.2003.37.
BACKGROUND
The treatment of the aging neck is still a challenge to the plastic surgeon.
OBJECTIVE
The results of anatomic studies of the platysma muscle and its role in the treatment of the aging neck are presented.
METHODS
Dissection of 50 cadavers revealed differences in the distribution of the medial fibers of the platysma muscle in the suprahyoid region that could significantly affect surgical results. A 4-cm incision at the submental area, 0.3 to 0.4 mm behind the submental crease, and submental skin undermining permitted visualization of the medial fibers of the platysma. The medial fibers were dissected laterally and excess muscle removed. The fibers were sutured without tension to the median line, followed by a medial section at the level of the cricoid cartilage.
RESULTS
With the use of the approach described here, very good results were obtained in the treatment of patients who presented with deformities in the median line of the neck.
CONCLUSIONS
Appropriate treatment of the platysma, based on anatomic analysis and facilitated by the submental approach, is the key to optimal results in the treatment of the aging neck. (Aesthetic Surg J 2003;23:165-169.).
背景
颈部老化的治疗对整形外科医生来说仍是一项挑战。
目的
介绍颈阔肌的解剖学研究结果及其在颈部老化治疗中的作用。
方法
对50具尸体进行解剖，发现颈阔肌内侧纤维在舌骨上区的分布差异可能会显著影响手术效果。在颏下区，于颏下皱襞后方0.3至0.4毫米处做一个4厘米的切口，并在颏下皮肤下潜行分离，以便观察颈阔肌的内侧纤维。将内侧纤维向外侧解剖并切除多余的肌肉。将纤维无张力地缝合至中线，然后在环状软骨水平做内侧部分切除。
结果
采用此处所述的方法，对颈部中线出现畸形的患者进行治疗，取得了非常好的效果。
结论
基于解剖学分析并借助颏下入路对颈阔肌进行适当治疗，是颈部老化治疗取得最佳效果的关键。（《美容外科杂志》2003年；23:165 - 169。）
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