Aesthet Surg J. 2012 Nov;32(8):927-36. doi: 10.1177/1090820X12462714.
Numerous techniques have been used to rejuvenate the aging midface. The Endotine midface technique involves an endoscopic temporal approach, including midface dissection and malar suspension with fixation. The Endotine device (Microaire, Charlottesville, Virginia) eliminates the intraoral incision and use of sutures, enabling multipoint fixation and fast, simple adjustability for optimal control of midface elevation and volume.
The authors describe their preferred technique for the endoscopic midface lift and summarize their 13 years of experience.
A retrospective chart review was conducted of 183 patients who underwent endoscopic midface surgery. Patients treated from 1998 to 2003 received direct needle fixation (n = 95). Those treated later underwent fixation with the Endotine device (n = 88).
Most (90%) of the patient population was female, and the average age at the time of surgery was 46 years (range, 39-54 years). Needle fixation was used in 95 patients and Endotine fixation in 88. The average follow-up period was 7 years. The authors have observed many improvements in outcomes since the introduction of the Endotine device into their practice. These include reduced swelling and bruising, more symmetric elevation of the malar fat pad, mild improvement of tear trough deformity, softening of the nasolabial folds, and, in some cases, decreased "jowling." The asymmetry often associated with direct needle fixation has decreased, and no skin dimpling has occurred. Through their experience, the authors' preferred technique has become the temporal-only approach with Endotine fixation.
The Endotine midface suspension device enhances soft-tissue fixation, provides simple adjustability for optimal elevation and projection, and maintains mechanical fixation until biologic fixation becomes adequate. The 5 tines provide multiple points of contact for secure soft-tissue fixation. Elevation forces are evenly distributed over a wide area, which eliminates skin irregularities. Insertion and deployment are accomplished easily through temporal incision.
有许多技术被用于使衰老的中面部年轻化。Endotine 中面部技术涉及内窥镜颞部入路，包括中面部解剖和颧骨悬吊固定。Endotine 装置（Microaire，弗吉尼亚州夏洛茨维尔）消除了口腔内切口和缝线的使用，实现了多点固定和快速、简单的可调节性，以实现中面部提升和体积的最佳控制。
作者描述了他们内镜中面部提升的首选技术，并总结了他们 13 年的经验。
对 183 例接受内镜中面部手术的患者进行了回顾性图表分析。1998 年至 2003 年接受直接针固定治疗的患者（n = 95）。后来接受 Endotine 装置固定治疗的患者（n = 88）。
大多数（90%）患者为女性，手术时的平均年龄为 46 岁（范围 39-54 岁）。95 例患者采用针固定，88 例患者采用 Endotine 固定。平均随访时间为 7 年。自引入 Endotine 装置以来，作者观察到许多结果得到了改善。这些包括肿胀和瘀伤减轻，颧骨脂肪垫更对称地抬高，泪槽畸形轻度改善，鼻唇沟软化，在某些情况下，“下颌下垂”减少。直接针固定常导致的不对称性减少，且无皮肤凹陷。通过他们的经验，作者首选的技术已成为带 Endotine 固定的颞部入路。
Endotine 中面部悬吊装置增强了软组织固定，提供了简单的可调节性，以实现最佳的提升和突出，并保持机械固定，直到生物固定足够。5 个叉提供了多个接触点，以确保软组织固定。提升力均匀分布在较宽的区域，消除了皮肤不平整。通过颞部切口很容易进行插入和展开。
