Matarasso A, Matarasso S L
Department of Plastic Surgery, Albert Einstein College of Medicine, New York, New York, USA.
Dermatol Surg. 1995 Aug;21(8):695-700. doi: 10.1111/j.1524-4725.1995.tb00272.x.
A number of alternatives exist for the temporary correction of glabellar creases and frown lines. The traditional "open" operative procedure has often involved a large incision to gain access to the depressor muscles that are responsible for the deformity. While useful for patients with multiple or more significant deformities, patients with isolated glabellar creases and frown lines have been reluctant to consider an extensive surgical procedure, with its attendant morbidity, for an isolated problem.
The purpose of this report is to describe a new technique of endoscopic corrugator muscle resection, without the need for the traditional lengthy scalp incision.
Traditional criteria for patient selection was employed. A series of 10 consecutive patients with vertical mid-forehead glabellar-eyebrow frown lines were treated by endoscopic corrugator muscle resection and evaluated.
The procedure was efficacious in reducing the frown-muscle complex prominence and rhytids in the mid-forehead area. Circumstances of heavy folds, hyperactive muscle function, or premature furrows in patients with good skin tone appear to be most suitable for this technique.
With the introduction of a more acceptable, less problematic surgical solution, deformities in the forehead-eyebrow area can be readily addressed surgically. The procedure is a cost-effective alternative to temporary techniques improving aesthetic problems in the forehead-eyebrow area.
对于眉间纹和皱眉纹的临时矫正存在多种选择。传统的“开放式”手术通常需要一个大切口来暴露导致畸形的降眉肌。虽然对于有多处或更严重畸形的患者有用，但仅有眉间纹和皱眉纹的患者一直不愿考虑针对单一问题进行这种伴有相应发病率的广泛外科手术。
本报告的目的是描述一种无需传统长头皮切口的内镜下皱眉肌切除术新技术。
采用传统的患者选择标准。对连续10例患有垂直性额中部眉间 - 眉毛皱眉纹的患者进行内镜下皱眉肌切除术并进行评估。
该手术在减少额中部区域皱眉肌复合体突出和皱纹方面有效。皮肤质地良好但有重度皱纹、肌肉功能亢进或过早出现皱纹的患者似乎最适合该技术。
随着一种更可接受、问题更少的手术解决方案的引入，额 - 眉区域的畸形可以通过手术轻松解决。该手术是改善额 - 眉区域美学问题的临时技术的一种经济有效的替代方法。
