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内镜下面部年轻化手术的外科解剖学

Surgical anatomy in endoscopic facial rejuvenation.

作者信息

Campiglio G L, Candiani P

机构信息

Institute of Plastic Surgery, University of Milan, Italy.

出版信息

Acta Chir Plast. 1996;38(1):3-10.

PMID:8771803
Abstract

Endoscopic facial rejuvenation is a new technique which allows to greatly reduce the scar morbidity especially in the forehead region. Other advantages are its safety and accuracy due to the excellent magnification provided by the endoscope which enhances the visualization of muscles, nerves and vessels and shows clear surgical planes. Anyway, a sound knowledge of the distribution of the fascial system at the temporo-zygomatic region and of the relationships between the temporal fasciae, the interposed fat pads and the frontal branch are fundamental both in the prevention of nerve injury and in the successful result of the endoscopic procedure. In this paper an accurate account of the anatomical structures and their relationships encountered during a subperiosteal endoscopic facial procedure by dissecting 20 facial halves has been provided.

摘要

内镜下面部年轻化是一种新技术,尤其在额部区域能显著降低瘢痕发生率。其他优点包括其安全性和准确性,这得益于内镜提供的出色放大效果,可增强对肌肉、神经和血管的可视化,并显示清晰的手术平面。无论如何,充分了解颞颧区域筋膜系统的分布以及颞筋膜、中间脂肪垫和额支之间的关系,对于预防神经损伤和内镜手术的成功结果都至关重要。本文通过解剖20个半侧面部,准确描述了骨膜下内镜面部手术过程中遇到的解剖结构及其关系。

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