Dumas P, Nguyen P-S-A, Foletti J-M, Magalon G
Service de chirurgie plastique reconstructrice esthétique et chirurgie de la main, hôpital Saint-Roch, CHU de Nice, 5 rue Pierre-Dévoluy, Nice cedex 1, France.
Ann Chir Plast Esthet. 2012 Jun;57(3):202-9. doi: 10.1016/j.anplas.2011.08.002. Epub 2011 Oct 11.
The deep nasolabial fold (NLF) due to age is a frequent complaint from patients in plastic surgery. Various surgical and medical management solutions have been described in literature and are often based on different concepts to justify their interest. We present a new surgical treatment of this region using a temporalis superficialis fascia graft in order to fill the NLF. We also propose a review of the literature about the anatomy and the physiology of this major fold of the face.
From 1990 to 2010, we practiced the replenishing of the NLF using a temporalis superficialis fascia graft on 24 female patients. They all were presenting NLF of great or mild importance due to ageing. We also performed on patients with a great importance NLF a lipofilling of the cheek and the lips in order to recover the volumes lost with ageing. The evaluation items were the quality of the filling (importance and symmetry), quality of the scars and complications occurring on the donor and receiving sites.
Objective and subjective results were good. Projection of the NLF was in most of cases strongly and durably restored.
Filling of the deep nasolabial fold using a temporalis superficialis fascia graft is a simple and reliable technique. Depending on the patients this method can be associated with a lipostructure of the cheek and the lips in order to optimize the facial rejuvenation. According to us this tissular implant allows a long lasting and important correction of the NLF.
因年龄增长导致的鼻唇沟加深是整形外科患者常见的诉求。文献中描述了各种手术和医学治疗方案，且往往基于不同概念来证明其合理性。我们介绍一种使用颞浅筋膜移植对该区域进行的新手术治疗方法，以填充鼻唇沟。我们还对有关面部这一主要褶皱的解剖学和生理学的文献进行综述。
1990年至2010年，我们对24名女性患者采用颞浅筋膜移植进行鼻唇沟填充。她们均因年龄增长出现了程度不同的鼻唇沟。对于鼻唇沟较深的患者，我们还对其面颊和唇部进行脂肪填充，以恢复因衰老而流失的容积。评估项目包括填充质量（程度和对称性）、瘢痕质量以及供区和受区出现的并发症。
客观和主观结果均良好。多数情况下，鼻唇沟的凸起得到了显著且持久的恢复。
使用颞浅筋膜移植填充鼻唇沟是一种简单可靠的技术。根据患者情况，该方法可与面颊和唇部的脂肪结构调整相结合，以优化面部年轻化效果。我们认为这种组织植入物能对鼻唇沟进行长期且显著的矫正。
