Burgess L P, Lau P, Glenn M, Goode R L
Otolaryngology-Head and Neck Surgery Service, Walter Reed Army Medical Center, Washington, DC 20307-5001.
Arch Otolaryngol Head Neck Surg. 1988 Nov;114(11):1280-7. doi: 10.1001/archotol.1988.01860230074028.
In superficial musculoaponeurotic system (SMAs) suspension procedures in rhytidectomy, skin closing tension seems to be lower at the main anchor points than with non-SMAS procedures. To evaluate this clinical impression, a preliminary investigation into the effect of SMAS suspension on wound closing tension was undertaken. Intraoperatively, skin closing tension was compared with and without SMAS plication sutures at the two key anterior and posterior skin anchor points. Results confirmed decreased tension with SMAS plication. Anteriorly in the temporal part of the scalp, a significant difference of 87 g was demonstrated. Posteriorly in the occipital hairline, a significant difference of 96 g was demonstrated. Individual differences in tension were more pronounced in patients with prominent SMAS laxity than in those patients with mild laxity.
在除皱术中的表浅肌肉腱膜系统（SMAS）悬吊手术中，主要锚定点处的皮肤闭合张力似乎低于非SMAS手术。为评估这一临床印象，对SMAS悬吊对伤口闭合张力的影响进行了初步研究。术中，在两个关键的前后皮肤锚定点比较了有和没有SMAS折叠缝合时的皮肤闭合张力。结果证实SMAS折叠可降低张力。在头皮颞部前方，显示出87克的显著差异。在枕部发际线后方，显示出96克的显著差异。SMAS松弛明显的患者比轻度松弛的患者在张力上的个体差异更明显。
